Active NPI
Sohail A Khan, PA
- Hospitalist Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- PA9102828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292057300 | Medicaid | FL | |
| PA 9102828 | Other | FL | PHYS ASSIST LICENSE |
| P00407536 | Other | RAILROAD 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
Enrollment records 1
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
Practice addresses (Care Compare)
13715 Richmond Park Dr N
Unit 401
Jacksonville, FL 32224-5277
Phone (410) 258-6500
Hospital & facility affiliations
- Shands Jacksonville
- Mayo Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9102828 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Specialties of Florida | Hospitalist | Current | Accepting new patients |
| First Coast Nephrology Inc | Current | Accepting new patients | |
| Craft Behavioral Health Clinic | Past | 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
- 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.
-
- Hospitalist Physician
- Jacksonville, FL
- NPI 1790499812
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1942625520
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
-
- Technician
- Jacksonville, FL
- NPI 1184308108
-
- Dermatology Physician
- Riverview, FL
- NPI 1952440711
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.