Individual provider Active NPI

Raheel Ahmad Khan, D.O.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1104951227
Registry record updated Oct 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A10420 Issued in CA
Practice address
7700 Folsom Blvd
Sacramento, CA 95826-2608
Phone
(510) 565-0931
Fax
(916) 668-6878
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 20A10420 CA
Psychiatry Physician 2084P0800X 20A10420 CA Primary

Addresses

Primary practice location

7700 Folsom Blvd
Sacramento, CA 95826-2608

Mailing address

PO Box 981233
West Sacramento, CA 95798-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000349 CA Practitioner - Psychiatry 3779677232 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1201 Alhambra Blvd
Suite 300
Sacramento, CA 95816-5241
Phone (916) 457-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10420CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinknow Inc Psychosomatic Medicine CurrentSince Dec 1, 2012 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2021 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sacramento Psychiatric Medical Group, PC Psychosomatic Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2021 Accepting new patients
ZH Medical Group, PC Psychiatry Current Accepting new patients
HLN Physicians Inc Psychosomatic Medicine PastSince Dec 1, 2012 Accepting new patients

Locations

8331 Sierra College Blvd
Ste 221
Roseville, CA 95661
Phone (916) 944-9214

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3600 American River Dr
Ste 200
Sacramento, CA 95864
Phone (916) 669-1200

2800 L St
Ste 300
Sacramento, CA 95816
Phone (916) 453-3300

1201 Alhambra Blvd
Ste 300
Sacramento, CA 95816
Phone (916) 451-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3548/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rkhan226626@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443830400000",
    "number": "1104951227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981233",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "957981233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262608",
            "telephone_number": "510-565-0931",
            "fax_number": "916-668-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAHEEL",
        "middle_name": "AHMAD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "20A10420",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A10420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.