S. Charles Khani, M.D. PHD, P.C.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

S. CHARLES KHANI, M.D. PHD, P.C.

Doing business as

Retina Care Institute

Practice address

900 Cummings Ctr
Suite 308V
Beverly, MA 01915-6198

Phone

(978) 922-1344

Fax

(978) 922-1346

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shahrokh Charles Khani, M.D.NPI 1710953690

Title

President

Phone

(978) 922-1344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Retina Care Institute Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: khani.charles.sckmd@direct.partners.masshiway.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahrokh Charles Khani, MD PHD

  • Retina Specialist (Ophthalmology) Physician
  • Beverly, MA
  • NPI 1710953690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1194957803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WALKER RD",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441032",
            "telephone_number": "978-922-1344",
            "fax_number": "978-922-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 308V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-922-1344",
            "fax_number": "978-922-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CHARLES KHANI, M.D. PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "KHANI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084000A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khani.charles.sckmd@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "900 Cummings Ctr",
            "address_2": "Suite 308V",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Retina Care Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retina Care Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheryl L Russell, DC
• Jameson D Rust
• Julie Ryan-Berman, L.I.C.S.W.
• Alexandra Ryan
• Katherine Ryan
• S.R. Amesbury, M.D., P.C.
• Shahram Saberi
• Nai Saetern, LMHC
• Sai Dental Services LLC
• Sybille Saincalir

• Retina Specialist (Ophthalmology) Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Retina Specialist (Ophthalmology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.