Masoud Khorsand- Sahbaie MD PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MASOUD KHORSAND- SAHBAIE MD PA

Doing business as

Kymera Independent Physicians

Practice address

400 Military Heights PL
Roswell, NM 88201-6407

Phone

(575) 627-9500

Fax

(575) 627-9535

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Elliott Southward

Title

Chief Operating Officer

Phone

(575) 627-9110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kymera Independent Physicians Doing business as

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Masoud Khorsand-Sahbaie, MD PA

  • Hematology & Oncology Physician
  • Hobbs, NM
  • NPI 1053621060
  NPPES parent name
• Masoud Khorsand-Sahbaie, MD PA

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1194169011
  NPPES parent name
• Masoud Khorsand-Sahbaie, MD PA

  • Hematology & Oncology Physician
  • Carlsbad, NM
  • NPI 1518277417
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Masoud Khorsand-Sahbaie, MD

  • Hematology & Oncology Physician
  • Roswell, NM
  • NPI 1629066097
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1528558186",
    "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": "575-627-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILITARY HEIGHTS PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016407",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD KHORSAND- SAHBAIE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "SOUTHWARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "575-627-9110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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"
        },
        {
            "organization_name": "Kymera Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Renae Martinez
• Monica Martinez
• Reynaldo Roman Martinez, M.D.
• Karen Moseley Martinson, M.S., CCC-SLP
• Masoud Khorsand- Sahbaie MD P a
• Masoud Khorsand-Sahbaie, MD PA
• Cheyenne Masterson
• Cristyl Masterson
• Ann M Matakas, FNP-C
• Maupin and Brown Dentistry PC

• Community/Retail Pharmacy in Roswell, NM
• Providers in Roswell, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.