NPIMap

Individual provider Active NPI

Sohail M Khan, M.D.

  • Internal Medicine Physician
  • Lynn Haven, FL
National Provider Identifier
1871691386
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69895 Issued in FL
Practice address
1000 Ohio Ave
Lynn Haven, FL 32444-2356
Phone
(850) 271-3006
Fax
(850) 271-4113
NPI assigned
Sep 20, 2006
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0069895 FL
Internal Medicine Physician 207R00000X ME69895 FL Primary

Addresses

Primary practice location

1000 Ohio Ave
Lynn Haven, FL 32444-2356

Mailing address

1000 Ohio Ave
Lynn Haven, FL 32444-2356
Phone (850) 271-3006

Other identifiers 1

IdentifierTypeStateIssuer
379856900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000669 FL Practitioner - Internal Medicine 3870528565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Center of Lynn HavenGroup PAC ID 1456456227, 3 clinicians

Practice addresses (Care Compare)

825 Florida Ave
Lynn Haven, FL 32444-2335
Phone (850) 265-3686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069895FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Panama Internal Medicine Associates Specialist CurrentSince Feb 7, 2021 Accepting new patients
Primary Care Center of Lynn Haven Internal Medicine CurrentSince Dec 31, 2019 Accepting new patients
Primary Care Center, P.a. Internal Medicine Past Accepting new patients

Locations

1000 Ohio Ave
Lynn Haven, FL 32444
Phone (850) 271-3006

825 Florida Ave
Lynn Haven, FL 32444
Phone (850) 265-3686

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23530/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1871691386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442356",
            "telephone_number": "850-271-3006",
            "fax_number": "850-271-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442356",
            "telephone_number": "850-271-3006",
            "fax_number": "850-271-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SOHAIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0069895",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379856900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.