KIRANDEEP KHANGURA (MBBS) – Nephrology Physician, NPI 1265650857

KIRANDEEP KHANGURA (MBBS) is a healthcare provider. based in Mount vernon, Illinois. specializing in NEPHROLOGY. They hold the professional credentials MBBS. They hold a License No. 36.131882 (IL). The NPI Number for KIRANDEEP KHANGURA (MBBS) is 1265650857

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KIRANDEEP KHANGURA (MBBS)
NPI
1265650857
Phone
(618) 241-9071
Address
4113 S WATER TOWER PL
Enumeration Date
22 April 2007
Last Update Date
25 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7072528407
Graduation Year
2003 (23 years ago)
PAC ID
3971769340
Group Practice PAC ID
7911942214
Professional Enrollment ID
I20191227002310
Address ID
CA945586417NA3443XLNXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

629 NEPHROLOGY in IL

Provider Addresses for KIRANDEEP KHANGURA (MBBS)

  • 4113 S WATER TOWER PL

    MOUNT VERNON, IL 628646293

    Phone: (618) 241-9071

    Type: Location

  • 3443 VILLA LN

    STE 6

    NAPA, CA 945586417

    Phone: (707) 252-8407

    Fax: (707) 252-8355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191227002310INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes29888$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4033$0
99291Critical care, first 30-74 minutes3921$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911942214View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCA
-CA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What NPI should I save for KIRANDEEP KHANGURA (MBBS)?
Save NPI 1265650857 if you need a stable reference for KIRANDEEP KHANGURA (MBBS).
Does this profile mean KIRANDEEP KHANGURA (MBBS) is currently active?
Yes — KIRANDEEP KHANGURA (MBBS) appears active in the national provider directory.
Does KIRANDEEP KHANGURA (MBBS) list a primary specialty?
If you are matching referrals, note Nephrology Physician for KIRANDEEP KHANGURA (MBBS). Clinical services aligned with this taxonomy classification.
What location shows for KIRANDEEP KHANGURA (MBBS)?
We surface Mount Vernon, Illinois for KIRANDEEP KHANGURA (MBBS) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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