Sunna Khan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2021028579 Issued in MO

Practice address

777 Craig Rd Ste 130
Creve Coeur, MO 63141-7133

Phone

(314) 872-7792

Fax

(314) 872-5655

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Psychiatry

Education

University of Missouri, Kansas City, School of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

West County Physicians, LLCGroup PAC ID 9032507579, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.94 of 100Reported as group

Quality

68.52

Promoting interoperability

100

Improvement activities

40

Cost

72.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skhan309449@direct-ehr-ssmhc.com
• Direct secure messaging: sunna.khan.p1@direct.affiniahealthcare.nextgenshare.com

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.

• SSM Health Care Group

  dba SLUCare Physician Group

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1306589544

  Psychiatry

  Medicare reassignment Care Compare group NPD
• West County Physicians, LLC

  • Psychiatry Physician
  • Creve Coeur, MO
  • NPI 1518586932
  Medicare reassignment Care Compare group NPD
• SLH Physicians LLC

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1881668051

  Psychiatry

  Medicare reassignment NPD
• Midwest Pulmonary and Critical Care Consultants Inc

  • Pulmonary Disease Physician
  • Saint Louis, MO
  • NPI 1023138369
  NPD
• SSM Health Care Group

  dba SLUCare Physician Group

  • Dermatopathology Physician
  • Saint Louis, MO
  • NPI 1932844495
  NPD

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770042608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-872-7792",
            "fax_number": "314-872-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-872-7792",
            "fax_number": "314-872-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041027",
            "country_code": "US",
            "telephone_number": "314-977-4828",
            "fax_number": "314-977-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SUNNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2021028579",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2021028579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Lynn Keller, MSCCC-SLP
• Allison Kelley, OTR/L
• Robert Francis Kelly, PA-C
• Nancy Ketring Kennedy, O.D.
• Saad Z Khan, M.D.
• Aisha Khorana, M.ED., PLPC
• Johnny Kim, LCSW
• Emily Michelle Kimbel, M.A., CCC-SLP
• Erin Ann Kimmins, DPT
• David Jonathan King, M.D.

• Psychiatry Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.