Dr Supriya Khan, MD in Portland, OR

Dr Supriya Khan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Portland, Oregon. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Mercy Clinic Fort Smith Communities, Cheyenne Regional Physicians Group Llc, St Alexius Medical Center 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 Name	Dr Supriya Khan
Gender	Female
Speciality	Nephrology
Experience	25 Years
Location	1547 Ne 40th Ave Ste B, Portland, Oregon
Accepts Medicare Assignments	Yes. 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: 03/19/2021

Medicare PECOS Information:

PECOS PAC ID: 4688660129
Enrollment ID: I20220104000401

Medical Identifiers

Medical identifiers for Dr Supriya Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023190469	NPI	-	NPPES
1090617	Medicaid	WA
276227	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD60054413 (Washington)	Secondary
207RN0300X	Internal Medicine - Nephrology	54992 (Kentucky)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD 28660 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cheyenne Regional Medical Center	Cheyenne, WY	Hospital
Tuality Community Hospital	Hillsboro, OR	Hospital
Chi St Alexius Health	Bismarck, ND	Hospital
Mercy Hospital Fort Smith	Fort smith, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Fort Smith Communities	3870668510	273
Cheyenne Regional Physicians Group Llc	2961403639	92
St Alexius Medical Center	8426960865	205

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 Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

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 Address	Practice 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

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

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