Individual provider Active NPI

Shah Z Khan, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356704779
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A168036 Issued in CA
Practice address
2100 Webster St Ste 404
San Francisco, CA 94115-2379
Phone
(415) 406-2822
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A168036 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 404
San Francisco, CA 94115-2379

Mailing address

2100 Webster St Ste 404
San Francisco, CA 94115-2379
Phone (415) 406-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200407003238 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 5092008854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Inpatient Medical GroupGroup PAC ID 6608956966, 128 clinicians

Practice addresses (Care Compare)

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168036CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightenmed Internal Medicine Current Accepting new patients
Pacific Redwood Medical Group Inc Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Willits Hospital Inc. Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Ukiah Adventist Hospital CurrentSince Sep 1, 2023 Accepting new patients
Pacific Inpatient Medical Group Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Ukiah Adventist Hospital Single Specialty Past Accepting new patients

Locations

850 Sequoia Cir
Fort Bragg, CA 95437
Phone (707) 462-1928

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

2100 Webster St
Ste 404
San Francisco, CA 94115
Phone (415) 202-1500

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Interoperability endpoints

  • Direct secure messaging: skhan567873@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 5

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": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1356704779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 404",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152379",
            "telephone_number": "415-406-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 404",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152379",
            "telephone_number": "415-406-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAH",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A168036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.