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RISHA KHETARPAL MD
NPI 1932661790
Internal Medicine in Douglassville, PA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
957 BEN FRANKLIN HWY E, DOUGLASSVILLE, PA 19518(610) 898-9370 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2024, Apr 2, 2019 (2 updates tracked since 2019).

About Risha Khetarpal Md NPPES

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

RISHA KHETARPAL MD (NPI 1932661790) is an individual internal medicine provider in Douglassville, Pennsylvania, licensed in Pennsylvania (MD482693) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932661790
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRISHA KHETARPALCredential: MD
Location Address957 BEN FRANKLIN HWY EDouglassville, PA 19518-9640
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(610) 898-9370
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1932661790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD482693
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
957 BEN FRANKLIN HWY E, Douglassville, PA 19518
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Accepted Insurance

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

Risha Khetarpal 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 ID1557744067
PECOS Enrollment IDI20240222004354
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19518 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

SAMANTHA SCHEETZ
Nurse Practitioner
957 BEN FRANKLIN HWY E
DOUGLASSVILLE, PA 19518
Berks County (610) 898-9370

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 Risha Khetarpal's NPI number?

The NPI number for Risha Khetarpal is 1932661790. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Risha Khetarpal located?

Risha Khetarpal practices at 957 Ben Franklin Hwy E, Douglassville, PA 19518. The listed phone number is (610) 898-9370.

What is Risha Khetarpal's specialty?

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

Is Risha Khetarpal enrolled in Medicare?

Yes. Risha Khetarpal 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 Risha Khetarpal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Risha Khetarpal 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 Risha Khetarpal affiliated with any hospitals?

According to CMS data, Risha Khetarpal is affiliated with Reading Hospital and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Risha Khetarpal was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.