NPIMap

Organization Active NPI

Masoud Khorsand-Sahbaie, MD PA

Doing business as Kymera Independent Physicians

  • Hematology & Oncology Physician
  • Hobbs, NM
National Provider Identifier
1053621060
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD2012-0091 Issued in NM
Legal business name
MASOUD KHORSAND-SAHBAIE, MD PA
Doing business as
Kymera Independent Physicians
Practice address
3028 N. Grimes
Hobbs, NM 88241
Phone
(575) 392-0222
Fax
(575) 392-0200
NPI assigned
Oct 13, 2010
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MASOUD KHORSAND-SAHBAIE, MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Cottrell
Title
Business Systems/Credentialing MGR
Phone
(575) 627-9508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 96299 NM
Hematology & Oncology Physician 207RH0003X MD2012-0091 NM Primary

Addresses

Primary practice location

3028 N. Grimes
Hobbs, NM 88241

Mailing address

PO Box 1574
Roswell, NM 88202-1574
Phone (575) 627-9505

Other identifiers 1

IdentifierTypeStateIssuer
Z2565MedicaidNM

Other names 1

  • Kymera Independent Physicians Doing business as

National Provider Directory

National Provider Directory
Part of
Masoud Khorsand Sahbaie

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1053621060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021574",
            "telephone_number": "575-627-9505",
            "fax_number": "877-749-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 N. GRIMES",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88241",
            "telephone_number": "575-392-0222",
            "fax_number": "575-392-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD KHORSAND-SAHBAIE, MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASOUD KHORSAND-SAHBAIE, MD PA",
        "enumeration_date": "2010-10-13",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BUSINESS SYSTEMS/CREDENTIALING MGR",
        "authorized_official_telephone_number": "575-627-9508"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "96299",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2012-0091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z2565",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kymera Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.