Individual provider Active NPI

Sohail A Khan, PA

  • Hospitalist Physician
  • Jacksonville, FL
National Provider Identifier
1275745333
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
PA9102828 Issued in FL
Practice address
10175 Fortune Pkwy Unit 1106
Jacksonville, FL 32256-6757
Phone
(904) 379-5928
Fax
(904) 379-5967
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9102828 FL
Hospitalist Physician 208M00000X PA9102828 FL Primary

Addresses

Primary practice location

10175 Fortune Pkwy Unit 1106
Jacksonville, FL 32256-6757

Mailing address

10175 Fortune Pkwy Unit 1106
Jacksonville, FL 32256-6757
Phone (904) 379-5928

Other identifiers 3

IdentifierTypeStateIssuer
292057300MedicaidFL
PA 9102828OtherFLPHYS ASSIST LICENSE
P00407536OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000168 FL Practitioner - Physician Assistant 5698715852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Specialties of FloridaGroup PAC ID 7810355708, 27 clinicians

Practice addresses (Care Compare)

13715 Richmond Park Dr N
Unit 401
Jacksonville, FL 32224-5277
Phone (410) 258-6500

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Mayo Clinic Hospital, Jacksonville, FL, CCN 100151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9102828FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Specialties of Florida Hospitalist CurrentSince Mar 1, 2026 Accepting new patients
First Coast Nephrology Inc CurrentSince Dec 16, 2025 Accepting new patients
Craft Behavioral Health Clinic PastSince Jun 18, 2023 Accepting new patients
Avecina Medical PA Past Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

4123 University Blvd S
Ste E
Jacksonville, FL 32216
Phone (904) 737-2722

1594 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-8621

Interoperability endpoints

  • Direct secure messaging: skhan220186@direct.shands.ufl.edu

Organizations & group practices 5

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 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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1275745333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 1106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566757",
            "telephone_number": "904-379-5928",
            "fax_number": "904-379-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 1106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566757",
            "telephone_number": "904-379-5928",
            "fax_number": "904-379-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SOHAIL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9102828",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "PA9102828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292057300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS ASSIST LICENSE",
            "identifier": "PA 9102828",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00407536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.