NISHA KHANAL (PA-C) – Physician Assistant, NPI 1093290132
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NISHA KHANAL (PA-C)
West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States
SUITE 300
OKLAHOMA CITY, OK 731209322
Phone: (405) 748-3300
Fax: (405) 749-1671
Type: Mailing
300, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73114, United States
OKLAHOMA CITY, OK 731209322
Phone: (405) 748-3300
Fax: (405) 749-1671
Type: Location
PO BOX 5999
PORTLAND, OR 972285999
Phone: (541) 500-2500
Fax: (541) 500-2700
Type: Mailing
4001 TIETON DR
YAKIMA, WA 989083345
Phone: (509) 410-0746
Fax: (509) 410-0749
Type: Location
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: 2021-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211118002459 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 100 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 87 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 49 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 50 | 49 | $0 |
Insurance plans in this area (ZIP 73120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | OK | |
| Physical Medicine And Rehabilitation | OK | |
| Nurse Practitioner | OK | |
| N E U R O S U R G E R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | OK | |
| Physical Medicine And Rehabilitation | OK | |
| Physician Assistant | OK |
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