Active NPI
Mohammad Sohail Khera, MD
- Pediatrics Physician
- Winsted, CT
National Provider Identifier
1073570784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 031662
- Practice address
- 115 Spencer St
Winsted, CT 06098-1140 - Phone
- (860) 738-0400
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 031662 | CT | Primary |
Addresses
Primary practice location
115 Spencer St
Winsted, CT 06098-1140
Mailing address
115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001316620 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031662 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winsted Pediatrics | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1073570784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SPENCER ST",
"city": "WINSTED",
"state": "CT",
"postal_code": "060981140",
"telephone_number": "860-738-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SPENCER ST",
"city": "WINSTED",
"state": "CT",
"postal_code": "060981140",
"telephone_number": "860-738-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHERA",
"first_name": "MOHAMMAD",
"middle_name": "SOHAIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "031662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001316620",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.