Sofia S Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

111310 Issued in MO

Practice address

17844 E 23Rd St S
Independence, MO 64057-1840

Phone

(816) 254-3652

NPI assigned

Jul 6, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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

Merit-based Incentive Payment System (MIPS)

Final score

80.35 of 100Reported as group

Quality

61.06

Promoting interoperability

99

Improvement activities

40

Cost

74.26

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sofia.khan.1@19735.direct.athenahealth.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.

• Hospital Medicine Services of Mo, LLC

  • Hospitalist Physician
  • Independence, MO
  • NPI 1841997905

  Hospitalist, MO

  Medicare reassignment NPD
• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487

  MO

  Medicare reassignment
• Gates Hospitalists LLC

  • Internal Medicine Physician
  • North Kansas City, MO
  • NPI 1699774893

  Internal Medicine

  NPD (past)
• Mid America Infectious Disease Consultants PC

  • Infectious Disease Physician
  • Kansas City, MO
  • NPI 1528164217
  NPD (past)
• General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1811945199
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1770580730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 W 139TH TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243931",
            "telephone_number": "913-814-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 S Noland Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640553344",
            "country_code": "US",
            "telephone_number": "401-770-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-943-4758",
            "fax_number": "816-943-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SOFIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-26409",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "M0111310",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "111310",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "111310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Christine Kenning, OD
• Scott Kerby, MS, LPC
• Robert J Kern, DDS
• Bethany Kessler, SLP-CCC
• Syed M Khalid, MD
• Mohmmad Khoshneviszadeh
• Ashley Suzanne Kidd, RN
• Elizabeth Rose Kieffer
• Jessica R Kientzy, MSN, PMHNP
• Marta Hailu Kifle, NP

• All providers in Independence, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.