Active NPI
San Kyaw Khine, MD
- Nephrology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA10909800
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
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
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.99 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD28801 | ME | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Western Nephrology & Metabolic Bone Disease, P.C. | Nephrology | Current | Accepting new patients |
| Grand Central Medical Services PLLC | Nephrology | Current | Accepting new patients |
| Mainehealth | Current | 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
- skhine887640@direct.mmc.mainehealth.org
- https://fhir4.healow.com/fhir/r4/ACHACA
- 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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- Internal Medicine Physician
- New York, NY
- NPI 1679404040
Nephrology
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Family Medicine Physician
- Portland, ME
- NPI 1639194509
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
-
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.