Active NPI
Sandi Lwin Khin, M.D.
- Pulmonary Disease Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME149985
- Practice address
- 13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818 - Phone
- (239) 343-1105
- Fax
- (239) 343-1106
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | ME149985 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME149985 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME149985 | FL | Primary |
Addresses
Primary practice location
13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818
Mailing address
10950 Legacy Gateway Cir Unit 408
Fort Myers, FL 33913-2686
Phone (347) 751-3599
Other practice location 1
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000
Other practice location 2
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110458200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skhin267422@Direct.leememorial.org | Direct | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210526002114 | FL | Practitioner - Pulmonary Disease | 7810236072 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lee Health System Inc
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
Hospital & facility affiliations
- Gulf Coast Medical Center Lee Health
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149985 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Internal Medicine | Current | Accepting new patients |
| Lee Health System Inc | Internal Medicine | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
13340 Metro Pkwy
Ste 400
Fort Myers, FL 33966
Phone (239) 343-1105
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- skhin267422@direct.leememorial.org
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
FL, Internal Medicine
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
FL, Internal Medicine
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Community/Retail Pharmacy
- Estero, FL
- NPI 1114762630
-
- General Practice Physician
- Cape Coral, FL
- NPI 1346085636
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1366287880
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1427893932
-
- Skilled Nursing Facility
- Fort Myers, FL
- NPI 1669211058
-
- Skilled Nursing Facility
- Fort Myers, FL
- NPI 1700625183
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
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": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1457745622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10950 LEGACY GATEWAY CIR UNIT 408",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339132686",
"telephone_number": "347-751-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13340 METRO PKWY STE 400",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664818",
"telephone_number": "239-343-1105",
"fax_number": "239-343-1106"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13681 Doctors Way",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124300",
"country_code": "US",
"telephone_number": "239-343-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHIN",
"first_name": "SANDI",
"middle_name": "LWIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME149985",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME149985",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME149985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110458200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skhin267422@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.