Individual provider Active NPI

Sidrah Khan, M.D

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1194054858
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A115674 Issued in CA
Practice address
1303 E Herndon Ave
Fresno, CA 93720
Phone
(559) 450-7242
Fax
(559) 450-7470
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A115674 CA
Hospitalist Physician 208M00000X A115674 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave
Fresno, CA 93720

Mailing address

1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309
Phone (559) 450-7242

Other practice location 1

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone (718) 904-2000

Other practice location 2

1201 W 38th St
Austin, TX 78705-1006
Phone (512) 324-1864

Other practice location 3

1201 W 38th St
Austin, TX 78705-1006
Phone (512) 324-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20171025002447 TX Practitioner - HospitalistPractitioner - Internal Medicine 7113158551 Reassigns benefits to 3 organizations
I20191219001566 CA Practitioner - Internal MedicinePractitioner - Hospitalist 7113158551 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians
Merced Hospitalist Medical Group IncGroup PAC ID 5890948582, 38 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5000

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115674CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Internal Medicine CurrentSince Aug 5, 2017 Accepting new patients
Palomar Hospitalist Medical Group, Inc Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Seton Family of Doctors Internal Medicine Current Accepting new patients
Seton Family of Doctors CurrentSince Aug 5, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Community Health Partners CurrentSince May 14, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 17, 2023 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Nov 17, 2023 Accepting new patients
Merced Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Sep 15, 2025 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

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

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: skhan550005@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1194054858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE STE 850",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-7242",
            "fax_number": "559-450-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-450-7242",
            "fax_number": "559-450-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612301",
            "country_code": "US",
            "telephone_number": "718-904-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051006",
            "country_code": "US",
            "telephone_number": "512-324-1864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051006",
            "country_code": "US",
            "telephone_number": "512-324-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SIDRAH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A115674",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A115674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.