Sumandeep Kaur Khehra

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2023007520 Issued in OH

Practice address

10864 Waterbury Ridge LN
Dayton, OH 45458-6057

Phone

(513) 292-3731

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

Yes

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 OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  OH

  Medicare reassignment

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1417637695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10864 WATERBURY RIDGE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454586057",
            "telephone_number": "513-292-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10864 WATERBURY RIDGE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454586057",
            "telephone_number": "513-292-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEHRA",
        "first_name": "SUMANDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "2023007520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheda Akter Khanam, M.D.
• Musa Mbali Khanyile, RN.492200
• Huda Jalal Khanzada
• Andrew Reza Khavari, MD
• Sarah G Khavari, M.D.
• Kimberly Cook Khosla, MD
• John Paul Khouzam
• Juvy M Khouzam, MD
• Sameh N Khouzam, MD
• Veronika Khrakovskaya, DPT

• Acute Care Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.