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MAMATA KHANAL
NPI 1760897623
Pediatrics in Chicago, IL

Active since June 29, 2014PECOS EnrolledAccepts Medicare Assignment
1926 W HARRISON ST APT NO1400, CHICAGO, IL 60612(804) 873-3741 Get Directions Write a Review

NPPES record last updated: June 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mamata Khanal NPPES

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

MAMATA KHANAL (NPI 1760897623) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125065958) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1760897623
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAMATA KHANAL
Location Address1926 W HARRISON ST APT NO1400Chicago, IL 60612-3737
Mailing Address1926 W Harrison St Apt No1400Chicago, IL 60612-3737 · (804) 873-3741
Phone(804) 873-3741
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 29, 2014
✔ NPI 1760897623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125065958
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1926 W HARRISON ST APT NO1400, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mamata Khanal 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 ID4789980830
PECOS Enrollment IDI20180102002878
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.

Medicare Billing Reassignment

Medicare enrollment records show Mamata Khanal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Community Health Network
0.8 mi
Federally Qualified Health Center (FQHC)
2409 W WARREN BLVD
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1528147824 (312) 733-4475

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Mamata Khanal's NPI number?

The NPI number for Mamata Khanal is 1760897623. It was assigned to this individual provider in the NPPES registry on June 29, 2014.

Where is Mamata Khanal located?

Mamata Khanal practices at 1926 W Harrison St Apt No1400, Chicago, IL 60612. The listed phone number is (804) 873-3741.

What is Mamata Khanal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mamata Khanal enrolled in Medicare?

Yes. Mamata Khanal 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.

Which organization bills Medicare for Mamata Khanal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamata Khanal reassigns Medicare benefits to Access Community Health Network (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamata Khanal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamata Khanal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mamata Khanal 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.

When was this NPI record last updated?

The NPPES record for Mamata Khanal was last updated on June 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.