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RASHMI KHANDELWAL M.D.
NPI 1952552572
Internal Medicine in Newark, DE

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
111 CONTINENTAL DR STE 406, NEWARK, DE 19713(302) 368-2630(302) 368-1271 Get Directions Write a Review

NPPES record last updated: October 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rashmi Khandelwal M.d. NPPES

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

RASHMI KHANDELWAL M.D. (NPI 1952552572) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0009570) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Center At Easton, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1952552572
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRASHMI KHANDELWALCredential: M.D.
Location Address111 CONTINENTAL DR STE 406Newark, DE 19713-4332
Mailing Address1208 Hurlock CtBear, DE 19701-4960 · (302) 261-2269 · Fax (302) 834-2184
Phone(302) 368-2630
Fax(302) 368-1271
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 1, 2008
Last NPPES UpdateOctober 14, 2012
✔ NPI 1952552572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0009570
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.
111 CONTINENTAL DR STE 406, Newark, DE 19713
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rashmi Khandelwal M.d. 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 ID5991968109
PECOS Enrollment IDI20120529000201, I20231020003087
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 Reassignments

5

Medicare enrollment records show Rashmi Khandelwal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delaware Post Acute Medical Services 1
3.9 mi
Hospitalist
505 GREENBANK RD
Wilmington, DE 19808
  • Reassigned Medicare billing, Delaware enrollment
  • 88 clinicians in this Medicare group
NPI 1801325717 (302) 998-0101
Inpatient Consultants Of Delaware, LLC
5.9 mi
Hospitalist
701 N CLAYTON ST
Wilmington, DE 19805
  • Reassigned Medicare billing, Delaware enrollment
  • 66 clinicians in this Medicare group
NPI 1073706099 (865) 693-1000
De Pacs 2 PA
5.9 mi
Hospitalist
100 SAINT CLAIRE DR
Hockessin, DE 19707
  • Reassigned Medicare billing, Delaware enrollment
  • 85 clinicians in this Medicare group
NPI 1457837981 (865) 693-1000
Harmony Healthcare
26 mi
Internal Medicine
101 LINDENWOOD DR STE 225-669
Malvern, PA 19355
  • Reassigned Medicare billing, Delaware and Pennsylvania enrollments
  • 9 clinicians in this Medicare group
NPI 1265115026 (302) 406-1620
Hospital Medicine Associates LLC
1,075 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Delaware enrollment
  • 41 clinicians in this Medicare group
NPI 1093758781 (225) 752-2470

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,743 services486 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
837 services334 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
257 services253 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
234 services224 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
95 services95 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
59 services59 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%86 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%537 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
57%134 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
60%2,380 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%6,575 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
3%461 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%1,466 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%1,049 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,038 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
5%659 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
36%1,049 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,049 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 461 patients
20%461 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$181.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

INPATIENT CONSULTANTS OF MARYLAND, P.C.
Internal Medicine
111 CONTINENTAL DR STE 406
NEWARK, DE 19713
New Castle County (302) 368-2630

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 Rashmi Khandelwal's NPI number?

The NPI number for Rashmi Khandelwal is 1952552572. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Rashmi Khandelwal located?

Rashmi Khandelwal practices at 111 Continental Dr Ste 406, Newark, DE 19713. The listed phone number is (302) 368-2630.

What is Rashmi Khandelwal's specialty?

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

Is Rashmi Khandelwal enrolled in Medicare?

Yes. Rashmi Khandelwal 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 organizations bill Medicare for Rashmi Khandelwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rashmi Khandelwal reassigns Medicare benefits to 5 organizations: Delaware Post Acute Medical Services 1 (Wilmington, DE), Inpatient Consultants Of Delaware, LLC (Wilmington, DE), De Pacs 2 PA (Hockessin, DE), Harmony Healthcare (Malvern, PA) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each 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 Rashmi Khandelwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rashmi Khandelwal accept?

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

According to CMS data, Rashmi Khandelwal is affiliated with University Of MD Shore Medical Center At Easton and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Rashmi Khandelwal was last updated on October 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.