Individual provider Active NPI

Sarah Khan, MD

  • Diagnostic Radiology Physician
  • Southlake, TX
National Provider Identifier
1629014386
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1091 Issued in TX
Practice address
630 E State Highway 114
Southlake, TX 76092-4410
Phone
(817) 329-8910
Fax
(817) 329-8911
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L1091 TX Primary
Diagnostic Radiology Physician 2085R0202X MD-56162 IA
Diagnostic Radiology Physician 2085R0202X 14561-320 WI
Diagnostic Radiology Physician 2085R0202X 81278 MN

Addresses

Primary practice location

630 E State Highway 114
Southlake, TX 76092-4410

Mailing address

630 E State Highway 114
Southlake, TX 76092-4410
Phone (817) 329-8910

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, IL, IA, MN, WI, CT7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20040616000073 TX Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 2 organizations
I20080906000095 KY Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 2 organizations
I20100109000358 IL Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 2 organizations
I20260227003563 IA Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 2 organizations
I20260302002966 MN Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 2 organizations
I20260302003175 WI Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 8 organizations
I20260507003778 CT Practitioner - Diagnostic Radiology 4082696893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, shared by 16 NPIs, 888 clinicians
Gundersen Regional Clinics, LLCGroup PAC ID 8820450919, 51 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1830 State Hwy 9
Suite 100
Decorah, IA 52101-7301
Phone (563) 382-3140

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

630 E State Hwy 114
Southlake, TX 76092-4410
Phone (817) 689-1859

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38577TXMDPsychologist
MD-56162IAMDDiagnostic Radiology Physician
81278MNMDDiagnostic Radiology Physician
14561-320WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc CurrentSince May 1, 2023 Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 16, 2026 Accepting new patients
Gundersen Lutheran Medical Center Inc Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 16, 2026 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Feb 16, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 23, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 16, 2026 Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 16, 2026 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 16, 2026 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 25, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 23, 2025 Accepting new patients
Gundersen Regional Clinics, LLC CurrentSince Feb 16, 2026 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 25, 2026 Accepting new patients
Gundersen Regional Clinics LLC Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
Medx Imaging LLC Diagnostic Radiology CurrentSince Sep 25, 2011 Accepting new patients
Rockford Health Physicians CurrentSince Sep 23, 2025 Accepting new patients
Pikeville Radiology Diagnostic Radiology Past Accepting new patients
Pikeville Radiology PLLC Diagnostic Radiology Past Accepting new patients
US Radiology Partners of Texas Inc Diagnostic Radiology Past Accepting new patients
Brownwood Hospital LP Diagnostic Radiology Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Potomac Radiology & Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Southlake Trophy Club Radiology Diagnostic Radiology PastSince Sep 1, 2006 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Medicine Past Accepting new patients

Locations

1830 State Highway 9
Ste 100
Decorah, IA 52101
Phone (563) 382-3140

120 2nd Ave SE
Waukon, IA 52172
Phone (563) 568-3000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1504 S Galena Ave
Dixon, IL 61021
Phone (815) 971-3170

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

630 E State Highway 114
Southlake, TX 76092
Phone (248) 760-3339

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1629014386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924410",
            "telephone_number": "817-329-8910",
            "fax_number": "817-329-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924410",
            "telephone_number": "817-329-8910",
            "fax_number": "817-329-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1091",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-56162",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "14561-320",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "81278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.