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PRASHANT KHETPAL MD
NPI 1215136148
Internal Medicine in Mesa, AZ

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
6644 E BAYWOOD AVE, MESA, AZ 85206(602) 778-3600 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Jun 26, 2021 (2 updates tracked since 2021).

About Prashant Khetpal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRASHANT KHETPAL MD (NPI 1215136148) is an individual internal medicine provider in Mesa, Arizona, licensed in Washington (129407) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215136148
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRASHANT KHETPALCredential: MD
Location Address6644 E BAYWOOD AVEMesa, AZ 85206-1747
Mailing AddressPo Box 708850Sandy, UT 84070-8850 · (866) 869-2395
Phone(602) 778-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 11, 2007
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1215136148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · 129407
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6644 E BAYWOOD AVE, Mesa, AZ 85206
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Other Identifiers 1

Other000000544849OH · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prashant Khetpal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729175252
PECOS Enrollment IDI20160721001697
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARLA TRUJILLO BSN, RN
Registered Nurse (Continuing Education/Staff Development)
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (480) 321-4731
ALLIED INTERNAL MEDICINE PLLC
General Acute Care Hospital
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (602) 694-0548
DR. MIKULKUMAR D SHAH MD
Anesthesiology
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (480) 321-2000
ANDREW MARTIN HEMMEN MD
Internal Medicine
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (480) 981-4391
DR. IZABELA B POSTACCHINI MD
Hospitalist
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER
MESA, AZ 85206
Maricopa County (480) 321-3900
JOSHUA TODD AUSTIN CRNA
Nurse Anesthetist, Certified Registered
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (480) 321-2000
EMERGENCY & ACUTE CARE MEDICAL COMPANY - AZ
Emergency Medicine
6644 E BAYWOOD AVE
MESA, AZ 85206
Maricopa County (480) 981-2000
DR. ERIC PITTMAN MD
Hospitalist
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER
MESA, AZ 85206
Maricopa County (480) 321-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prashant Khetpal's NPI number?

The NPI number for Prashant Khetpal is 1215136148. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Prashant Khetpal located?

Prashant Khetpal practices at 6644 E Baywood Ave, Mesa, AZ 85206. The listed phone number is (602) 778-3600.

What is Prashant Khetpal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prashant Khetpal enrolled in Medicare?

Yes. Prashant Khetpal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prashant Khetpal accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Prashant Khetpal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prashant Khetpal affiliated with any hospitals?

According to CMS data, Prashant Khetpal is affiliated with Holy Cross Hospital and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Khetpal was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.