Individual provider Active NPI

San Kyaw Khine, MD

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1457734642
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA10909800 Issued in NJ
Practice address
315 Madison Ave RM 1628
New York, NY 10017-5457
Phone
(929) 551-3588
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA10909800 NJ Primary
Nephrology Physician 207RN0300X MD28801 ME

Addresses

Primary practice location

315 Madison Ave RM 1628
New York, NY 10017-5457

Mailing address

315 Madison Ave RM 1628
New York, NY 10017-5457
Phone (929) 551-3588

Other practice location 1

870 Palisade Ave Ste 202
Teaneck, NJ 07666-3445
Phone (551) 996-9189

Other practice location 2

125 Northport Ave Ste 106
Belfast, ME 04915-6002
Phone (207) 505-4080

Other practice location 3

510 31st St Bsmt
Union City, NJ 07087-3907
Phone (201) 866-3322

Other practice location 4

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Other practice location 5

15 Anchor Dr Ste 202
Rockport, ME 04856-3848
Phone (207) 301-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20241217004006 ME Practitioner - NephrologyPractitioner - Internal Medicine 9931519444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

15 Anchor Dr
Rockport, ME 04856-3848

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
89.64
Promoting interoperability
98
Improvement activities
40
Cost
74.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28801MEMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 26, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Dec 28, 2024 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology CurrentSince May 22, 2023 Accepting new patients
Grand Central Medical Services PLLC Nephrology CurrentSince Jun 1, 2026 Accepting new patients
Mainehealth CurrentSince Dec 28, 2024 Accepting new patients
Tapestry Telehealth PLLC Past Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

5265 Vance St
Ste 200
Arvada, CO 80002
Phone (303) 232-3366

4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366

125 Northport Ave
#106
Belfast, ME 04915
Phone (207) 301-3090

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

15 Anchor Dr
Ste 202
Rockport, ME 04856
Phone (207) 301-3640

315 Madison Ave
Rm 201
New York, NY 10017
Phone (929) 551-3588

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: skhine887640@direct.mmc.mainehealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: skhine3652308@nychhc.direct-ci.com

Organizations & group practices 9

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 2

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1457734642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE RM 1628",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "929-551-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE RM 1628",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175457",
            "telephone_number": "929-551-3588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Palisade Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663445",
            "country_code": "US",
            "telephone_number": "551-996-9189",
            "fax_number": "201-836-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Northport Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156002",
            "country_code": "US",
            "telephone_number": "207-505-4080",
            "fax_number": "207-800-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 31st St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070873907",
            "country_code": "US",
            "telephone_number": "201-866-3322",
            "fax_number": "201-866-2289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Anchor Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048563848",
            "country_code": "US",
            "telephone_number": "207-301-3640",
            "fax_number": "207-301-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHINE",
        "first_name": "SAN",
        "middle_name": "KYAW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA10909800",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "MD28801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.