NPIMap

Organization Active NPI

Masoud Khorsand- Sahbaie MD P a

Doing business as Kymera Independent Physicians

  • Hematology & Oncology Physician
  • Roswell, NM
National Provider Identifier
1932187044
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
96299 Issued in NM
Legal business name
MASOUD KHORSAND- SAHBAIE MD P A
Doing business as
Kymera Independent Physicians
Practice address
400 Military Heights PL
Roswell, NM 88201-6407
Phone
(575) 627-9500
Fax
(877) 749-7764
NPI assigned
Jan 9, 2006
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Dr. Masoud Khorsand-Sahbaie, MDNPI 1629066097
Title
Owner
Phone
(575) 627-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ST96299 NM
Hematology & Oncology Physician 207RH0003X MD2007-0020 NM
Hematology & Oncology Physician 207RH0003X MD2011-0742 NM
Hematology & Oncology Physician 207RH0003X 96299 NM Primary
Rheumatology Physician 207RR0500X MD2012-0244 NM

Addresses

Primary practice location

400 Military Heights PL
Roswell, NM 88201-6407

Mailing address

PO Box 1574
Roswell, NM 88202-1574
Phone (575) 627-9508

Other identifiers 3

IdentifierTypeStateIssuer
800521089OtherNMMEDICARE GROUP #
Z2565OtherNMMEDICAID GROUP NUMBER
1238400001OtherNMPALMETTO GBA

Other names 1

  • Kymera Independent Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000920 NM Part B Supplier - Clinic/Group Practice 8729068911 Receives reassigned benefits from 34 practitioners
Practice locations: Carlsbad, NM; Hobbs, NM; Roswell, NM

National Provider Directory

National Provider Directory

Locations

101 S Canal St
Carlsbad, NM 88220
Phone (575) 234-0500

407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1932187044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021574",
            "telephone_number": "575-627-9508",
            "fax_number": "877-749-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILITARY HEIGHTS PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016407",
            "telephone_number": "575-627-9500",
            "fax_number": "877-749-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD KHORSAND- SAHBAIE MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "KHORSAND-SAHBAIE",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-627-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "ST96299",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2007-0020",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "MD2011-0742",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "96299",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "MD2012-0244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "800521089",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "Z2565",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "1238400001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kymera Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kymera Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.