Shaheen Khosla, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A10526 Issued in CA

Practice address

100 Arch St Ste 1
Redwood City, CA 94062-1381

Phone

(650) 482-7546

Fax

(650) 562-7481

NPI assigned

Jun 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Dermatology

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khosla Dermatology, Inc.Group PAC ID 6204207392, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Khosla Dermatology, Inc.

  • Dermatology Physician
  • Redwood City, CA
  • NPI 1508583790
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1649439720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARCH ST STE 1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621381",
            "telephone_number": "650-482-7546",
            "fax_number": "650-562-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCH ST STE 1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621381",
            "telephone_number": "650-482-7546",
            "fax_number": "650-562-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "SHAHEEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma Khan
• James Khan, MD
• Malika N. Kheraj, MD
• Natalia Khilko, PHD, L.AC.
• Khosla Dermatology, Inc.
• Fady Sami Khoury, PHARMD
• Kid Kare Medical Associates Inc
• Nicole Kielty
• Emily Kieu
• Katherine Kieu, DDS

• Dermatology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.