Individual provider Active NPI

Sonia Khatter, M.D.

  • Rheumatology Physician
  • Denver, CO
National Provider Identifier
1174056592
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
422881 Issued in CO
Practice address
425 S Cherry St Ste 300
Denver, CO 80246-1230
Phone
(720) 848-0000
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 422881 CO Primary
Internal Medicine Physician 207R00000X DR.0064371 CO

Addresses

Primary practice location

425 S Cherry St Ste 300
Denver, CO 80246-1230

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 463-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20221130003155 CO Practitioner - Rheumatology 6507138492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians

Practice addresses (Care Compare)

Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Ctr PT
Suite 290
Colorado Springs, CO 80907-8722
Phone (719) 635-5148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064371COMDInternal Medicine Physician
422881COMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Rheumatology CurrentSince Mar 1, 2024 Accepting new patients
New West Physicians Inc Internal Medicine CurrentSince May 19, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
New West Physicians Inc CurrentSince May 19, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

425 S Cherry St
Ste 300
Denver, CO 80246
Phone (303) 388-4631

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

1715 Iron Horse Dr
Ste 100
Longmont, CO 80501
Phone (720) 215-3572

11990 Grant St
Ste 108
Northglenn, CO 80233
Phone (720) 494-7000

3455 Lutheran Pkwy
Ste 100
Wheat Ridge, CO 80033
Phone (303) 318-2900

Interoperability endpoints

  • Direct secure messaging: skhatter119483@westdirect.optum.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1174056592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-463-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461230",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTER",
        "first_name": "SONIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "422881",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0064371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.