DR. SHOBHA KHANDELWAL (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1083609622

DR. SHOBHA KHANDELWAL (M.D.) is a healthcare provider. based in Medina, Ohio. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 054767K (OH). The NPI Number for DR. SHOBHA KHANDELWAL (M.D.) is 1083609622

Main info

Female
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHOBHA KHANDELWAL (M.D.)
NPI
1083609622
Phone
(330) 722-8886
Address
970 E WASHINGTON ST
Enumeration Date
20 September 2005
Last Update Date
17 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307237999
Graduation Year
1976 (50 years ago)
PAC ID
0143304063
Group Practice PAC ID
1850358300
Professional Enrollment ID
I20100226000207
Address ID
OH442562181ME970XXSTXX408
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

202 GERIATRIC MEDICINE in OH

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Provider Addresses for DR. SHOBHA KHANDELWAL (M.D.)

  • 970, East Washington Street, Medina, Medina County, Ohio, 44256, United States

    STE 2F

    MEDINA, OH 442562181

    Phone: (330) 722-8886

    Fax: (330) 764-9907

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-17 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-26

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
I20100226000207IGeriatric MedicineOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes32099$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes262118$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes163100$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes12050$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and8159$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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Provider's Procedures

DR. SHOBHA KHANDELWAL (M.D.) performs procedures in GERIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GERIATRIC MEDICINEOH85610Blood test, clotting time3611
GERIATRIC MEDICINEOH90670Pneumococcal vaccine for injection into muscle3131

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: 1850358300View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal Medicine, Pulmonary DiseaseOH
Nurse PractitionerOH
-OH
Internal MedicineOH
Internal MedicineOH

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Frequently asked questions

Where can patients find DR. SHOBHA KHANDELWAL (M.D.)'s NPI?
You can confirm DR. SHOBHA KHANDELWAL (M.D.) with NPI 1083609622; it appears in the national provider directory.
Is DR. SHOBHA KHANDELWAL (M.D.) active in the national directory?
DR. SHOBHA KHANDELWAL (M.D.)'s public NPI profile is in an active state.
What does DR. SHOBHA KHANDELWAL (M.D.) treat or focus on?
Patients typically see DR. SHOBHA KHANDELWAL (M.D.) under the specialty Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does DR. SHOBHA KHANDELWAL (M.D.) practice in Ohio?
You will see Medina, Ohio on file for DR. SHOBHA KHANDELWAL (M.D.) alongside any extra practice locations.
Is DR. SHOBHA KHANDELWAL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1083609622. Always confirm identity and privileges with the practice and licensing boards.

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