Ismail Sohail Khan, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20A23700 Issued in CA

Practice address

12821 Mediterranean Dr
Rancho Cucamonga, CA 91739-8954

Phone

(800) 872-2273

NPI assigned

Mar 26, 2020

Sex

Male

Sole proprietor

Yes

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 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

Diagnostic Radiology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sra Medical Imaging LLCGroup PAC ID 1759369663, 40 clinicians

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
• Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783

  CA

  Medicare reassignment Care Compare group NPD
• Sra Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1881920452

  CA

  Medicare reassignment Care Compare group NPD
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033

  CA

  Medicare reassignment NPD
• Charleston Radiologists PA

  • Diagnostic Radiology Physician
  • Mount Pleasant, SC
  • NPI 1811000177

  CA

  Medicare reassignment
• Millennium Medical Imaging PC

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1235114182

  CA

  Medicare reassignment
• Niagara Frontier Radiologic Associates PC

  • Diagnostic Radiology Physician
  • Lewiston, NY
  • NPI 1225120850

  CA

  Medicare reassignment
• Lucien Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Sharon, PA
  • NPI 1053351320
  NPD (past)
• Southtowns Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Hamburg, NY
  • NPI 1295779072
  NPD (past)

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

• Catskill Regional Medical Center

  • Family Medicine Physician
  • Monticello, NY
  • NPI 1720039563

  Hospital

  Care Compare affiliation
• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation
• Garnet Health Medical Center Catskills

  • Rural Acute Care Hospital
  • Harris, NY
  • NPI 1710977012
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1861029951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 MEDITERRANEAN DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398954",
            "telephone_number": "909-684-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 MEDITERRANEAN DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398954",
            "telephone_number": "800-872-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ISMAIL",
        "middle_name": "SOHAIL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "328114-01",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A23700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin O. Lawrence MD Inc
• Key Essentials to Behavior Management, Corp
• Firhana Zahid Khairullah, DO
• Lidya Khalil, DDS
• Imran Khan, DPT
• Muryam Afzal Khan
• Sara Khan
• Ziad Umar Khan, M.D.
• Sarah Khani, D.D.S.
• Madiha Khawaja

• Diagnostic Radiology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.