DR. SUPRIYA KHAN (MD) – Nephrology Physician, NPI 1023190469

DR. SUPRIYA KHAN (MD) is a healthcare provider. based in Pikeville, Kentucky. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD60054413 (WA). The NPI Number for DR. SUPRIYA KHAN (MD) is 1023190469

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUPRIYA KHAN (MD)
NPI
1023190469
Phone
(606) 218-6408
Address
911 Bypass Rd Bldg A
Enumeration Date
19 October 2006
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076357961
Graduation Year
1999 (27 years ago)
PAC ID
4688660129
Group Practice PAC ID
2961403639
Professional Enrollment ID
I20230221001322
Address ID
WY820011969CH4116XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

197 NEPHROLOGY in KY

Provider Addresses for DR. SUPRIYA KHAN (MD)

  • 911 Bypass Rd Bldg A

    Pikeville, KY 415011689

    Phone: (606) 218-6408

    Type: Location

  • 19300 SW 65th Ave

    Tualatin, OR 970627706

    Phone: (503) 692-1212

    Type: Location

  • Pacific Kidney & Hypertension, 1547, Northeast 40th Avenue, Hollywood, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972321862

    Phone: (503) 284-1937

    Fax: (503) 284-3908

    Type: Location

  • East Ray Road, Courtyards at Cobblestone, Chandler, Maricopa County, Arizona, 85225, United States

    CHANDLER, AZ 852258720

    Phone: (855) 397-0197

    Fax: (800) 272-6512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($53).

Total Amount

$78

General + Research + Ownership

Payments

2

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081003000144INephrologyORTBD
I20090612000326INephrologyWATBD
I20220104000401INephrologyARTBD
I20230221001322INephrologyWYTBD
I20240130001058INephrologyNDTBD
I20240327001151INephrologyNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18351$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14854$0
G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth5220$0
99214Established patient office or other outpatient visit, 30-39 minutes4031$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 41501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961403639View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL
-WY
Internal Medicine, Internal Medicine, HospitalistCO
Physician AssistantWY
N E U R O L O G YWY
Family PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Thoracic Surgery, Surgical OncologyCO

Reviews

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Frequently asked questions

Can I cross-check DR. SUPRIYA KHAN (MD) using NPI 1023190469?
NPI 1023190469 belongs to DR. SUPRIYA KHAN (MD); compare other details if you need extra assurance.
Is DR. SUPRIYA KHAN (MD) shown as active in public data?
Registry records indicate DR. SUPRIYA KHAN (MD) maintains an active NPI.
What area of care is associated with DR. SUPRIYA KHAN (MD)?
DR. SUPRIYA KHAN (MD)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Kentucky is DR. SUPRIYA KHAN (MD) registered?
Use Pikeville, Kentucky as the headline location for DR. SUPRIYA KHAN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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