Active NPI
Masoud Khorsand-Sahbaie, MD PA
Doing business as Kymera Independent Physicians
- Hematology & Oncology Physician
- Carlsbad, NM
National Provider Identifier
1518277417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 96299
- Legal business name
- MASOUD KHORSAND-SAHBAIE, MD PA
- Doing business as
- Kymera Independent Physicians
- Practice address
- 101 S Canal St
Carlsbad, NM 88220-5713 - Phone
- (575) 234-1471
- Fax
- (575) 234-1473
- NPI assigned
- Oct 14, 2010
- Last updated
- Apr 24, 2013
- Organization subpart
- Yes
- Parent organization
- MASOUD KHORSAND-SAHBAIE, MD PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Cottrell
- Title
- Business Systems/Credentialing MGR
- Phone
- (575) 627-9508
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2012-0215 | NM | |
| Hematology & Oncology Physician | 207RH0003X | MD2012-0091 | NM | |
| Hematology & Oncology Physician | 207RH0003X | MD2011-0742 | NM | |
| Hematology & Oncology Physician | 207RH0003X | 96299 | NM | Primary |
| Rheumatology Physician | 207RR0500X | MD2012-0244 | NM |
Addresses
Primary practice location
101 S Canal St
Carlsbad, NM 88220-5713
Mailing address
PO Box 1574
Roswell, NM 88202-1574
Phone (575) 627-9508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z2565 | Medicaid | NM |
Other names 1
- Kymera Independent Physicians
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2058294 | Masoud Khorsand - Sahbaie MD PA Dba Kymera | Certificate of waiver | May 2, 2027 |
National Provider Directory
National Provider Directory- Part of
- Masoud Khorsand Sahbaie
Locations
402 W Country Club Rd
Roswell, NM 88201
Phone (575) 627-9500
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Kymera Independent Physicians
- Community/Retail Pharmacy
- Roswell, NM
- NPI 1528558186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1518277417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1574",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882021574",
"telephone_number": "575-627-9508",
"fax_number": "877-749-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S CANAL ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205713",
"telephone_number": "575-234-1471",
"fax_number": "575-234-1473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASOUD KHORSAND-SAHBAIE, MD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MASOUD KHORSAND-SAHBAIE, MD PA",
"enumeration_date": "2010-10-14",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "COTTRELL",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "BUSINESS SYSTEMS/CREDENTIALING MGR",
"authorized_official_telephone_number": "575-627-9508"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2012-0215",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2012-0091",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2011-0742",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "96299",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NM",
"license": "MD2012-0244",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z2565",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kymera Independent Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.