Dr Supriya Khan, MD - Medicare Nephrology in Portland, OR

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Dr Supriya Khan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Portland, Oregon. She graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Legacy Meridian Park Hospital, Centennial Medical Group Inc, Cheyenne Regional Physicians Group Llc, Sampson Regional Hospitalists, Llc, American Healthcare Systems Llc and her current practice location is 1547 Ne 40th Ave Ste B, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 284-1937.

Dr Supriya Khan is licensed to practice in Oregon (license number MD 28660) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023190469.

Contact Information

Dr Supriya Khan, MD
1547 Ne 40th Ave Ste B,
Portland, OR 97232-1862
(503) 284-1937
(503) 284-3908

Map and Direction




Physician's Profile

Full NameDr Supriya Khan
GenderFemale
SpecialityNephrology
Experience26 Years
Location1547 Ne 40th Ave Ste B, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Supriya Khan graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1023190469
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 11/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688660129
  • Enrollment ID: I20081003000144

Medical Identifiers

Medical identifiers for Dr Supriya Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023190469NPI-NPPES
276227MedicaidOR
1090617MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD60054413 (Washington)Secondary
207RN0300XInternal Medicine - Nephrology 54992 (Kentucky)Secondary
207RN0300XInternal Medicine - Nephrology MD 28660 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital
Cheyenne Regional Medical CenterCheyenne, WYHospital
Legacy Meridian Park Medical CenterTualatin, ORHospital
Sampson Regional Medical CenterClinton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Meridian Park Hospital509260984293
Centennial Medical Group Inc610398296252
Cheyenne Regional Physicians Group Llc296140363992
Sampson Regional Hospitalists, Llc04463748475
American Healthcare Systems Llc771938353856

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Supriya Khan allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameLegacy Meridian Park Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184647620
PECOS PAC ID: 5092609842
Enrollment ID: O20040211001181
Entity NameCentennial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518103274
PECOS PAC ID: 6103982962
Enrollment ID: O20090303000063
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Supriya Khan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Supriya Khan, MD
1840 E Ray Rd,
Chandler, AZ 85225-8720

Ph: (855) 397-0197		Dr Supriya Khan, MD
1547 Ne 40th Ave Ste B,
Portland, OR 97232-1862

Ph: (503) 284-1937

Reviews and Comments


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Reem Hasan, MD
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Phone: 503-494-8562    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.