Shamina Khan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4730 Issued in AZ

Practice address

9165 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4847

Phone

(623) 249-2100

Fax

(623) 476-7305

NPI assigned

Dec 30, 2010

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Surraj Medical Associates PLLCGroup PAC ID 5294804993, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group
• Surraj Medical Associates PLLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1881861953
  Medicare reassignment Care Compare group
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD (past)
• Surraj Medical Associates

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1346416476
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1316241649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814847",
            "telephone_number": "623-249-2100",
            "fax_number": "623-476-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814847",
            "telephone_number": "623-249-2100",
            "fax_number": "623-476-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 N Thunderbird Cir Ste 303",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852151219",
            "country_code": "US",
            "telephone_number": "480-289-7890",
            "fax_number": "866-441-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAMINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Khaleghi
• Nestazia Khamis, PA-C
• Akbar Khan, MD
• Amer Khan, M.D.
• Neha Khan
• Azimuddin Tareq Khawaja, MD
• Leia Kidd
• Kids Dental Peoria, LLC
• Kidz R Kool
• John Peter Kieley, MD

• Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.

Verify at the official NPI Registry.