Individual provider Active NPI

Sourabh Kharait, M.D

  • Nephrology Physician
  • Tucson, AZ
National Provider Identifier
1124265822
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
80182 Issued in AZ
Practice address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone
(520) 626-6371
Fax
(520) 626-2024
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A107133 CA
Nephrology Physician 207RN0300X 334100 NY
Nephrology Physician 207RN0300X 80182 AZ Primary

Addresses

Primary practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Mailing address

1625 N Campbell Ave
Dept of Medicine, College of Medicine
Tucson, AZ 85719-4330

Other practice location 1

622 W 168th St Ph Bldg
New York, NY 10032-3720
Phone (212) 305-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100203000594 CA Practitioner - NephrologyPractitioner - Internal Medicine 8022151745 Reassigns benefits to 2 organizations
I20250520002020 NY Practitioner - Nephrology 8022151745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Nephrology Medical Group, Inc.Group PAC ID 9638107733, 10 clinicians
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, 2,262 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 1202
Roseville, CA 95661-2932
Phone (916) 789-1505

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107133CAMDClinical Social Worker
334100NYMDLicensed Practical Nurse

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Jan 1, 2010 Accepting new patients
Summit Nephrology Medical Group, Inc Nephrology CurrentSince Mar 1, 2013 Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Jan 1, 2010 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 28, 2025 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 28, 2025 Accepting new patients

Locations

11969 Heritage Oak Pl
Auburn, CA 95603
Phone (530) 878-5950

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

151 N Sunrise Ave
Ste 1202
Roseville, CA 95661
Phone (916) 789-1505

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

622 W 168th St
Ph
New York, NY 10032
Phone (212) 305-6692

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: skharait49428@hisp.ehr.sutterhealth.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1124265822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "address_2": "DEPT OF MEDICINE, COLLEGE OF MEDICINE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-626-6371",
            "fax_number": "520-626-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St Ph Bldg",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-6692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARAIT",
        "first_name": "SOURABH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A107133",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "334100",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "80182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.