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DR. SUPRIYA KHAN MD
NPI 1023190469
Internal Medicine - Nephrology in Portland, OR

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
1547 NE 40TH AVE STE B, PORTLAND, OR 97232(503) 284-1937(503) 284-3908 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2024, Mar 19, 2021, Feb 1, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Supriya Khan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUPRIYA KHAN MD (NPI 1023190469) is an individual nephrology provider in Portland, Oregon, licensed in Oregon (MD 28660) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023190469
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUPRIYA KHANCredential: MD
Location Address1547 NE 40TH AVE STE BPortland, OR 97232-1862
Mailing Address1840 E Ray RdChandler, AZ 85225-8720 · (855) 397-0197 · Fax (800) 272-6512
Phone(503) 284-1937
Fax(503) 284-3908
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 3, 20265 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1023190469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OR · MD 28660✔ Licensed in WI · 87744-20✔ Licensed in WA · MD60054413✔ Licensed in KY · 54992
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1547 NE 40TH AVE STE B, Portland, OR 97232
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Supriya Maddirala Md

Secondary Practice Locations 3

Location 12020 Riverside DrGreen Bay, WI 54301-2300 · Phone (920) 433-9920
Location 2911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 218-6408
Location 319300 SW 65th AveTualatin, OR 97062-7706 · Phone (503) 692-1212

Other Identifiers 2

Medicaid276227OR
Medicaid1090617WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of North Dakota and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Supriya Khan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688660129
PECOS Enrollment IDI20081003000144, I20240130001058, I20240327001151, I20260727001774
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Supriya Khan reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Northwest
1.7 mi
General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 3,207 clinicians in this Medicare group
NPI 1063990695 (800) 813-2000
Legacy Meridian Park Hospital
12 mi
Hospitalist
19300 SW 65TH AVE
Tualatin, OR 97062
  • Reassigned Medicare billing, Oregon enrollment
  • 218 clinicians in this Medicare group
NPI 1023305034 (503) 692-1212
Tuality Medical Group LLC
17 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000
Centennial Medical Group Inc.
163 mi
Surgery
201 NW MEDICAL LOOP STE 190
Roseburg, OR 97471
  • Reassigned Medicare billing, Oregon enrollment
  • 90 clinicians in this Medicare group
NPI 1518103274 (541) 644-4319
St. Alexius Medical Center
1,035 mi
Rural Health
1177 BORDER LN
Washburn, ND 58577
  • Reassigned Medicare billing, North Dakota enrollment
  • 616 clinicians in this Medicare group
NPI 1831267236 (701) 442-3396
Mercy Clinic Fort Smith Communities
1,636 mi
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
NPI 1902073620 (479) 314-1101
Oconto Hospital & Medical Center Inc
1,646 mi
Rural Health
15481 COMMERCIAL RD STE E
Lakewood, WI 54138
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1790284438 (715) 276-9048
Bellin Memorial Hospital Inc
1,658 mi
Family Medicine
307 MANOR DR
Suring, WI 54174
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1164484861 (920) 842-2144
American Healthcare Systems, LLC
2,317 mi
Physical Therapist
148 POINTE SOUTH DR
Randleman, NC 27317
  • Reassigned Medicare billing, North Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1699360735 (336) 799-4435
Sampson Regional Hospitalists, LLC
2,417 mi
Hospitalist
607 BEAMAN ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 23 clinicians in this Medicare group
NPI 1902126444 (910) 590-8729

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
145 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services24 patients
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
55 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
26%139 patients2/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
9%184 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%75 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%550 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%500 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%325 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
1%325 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%139 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%246 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
20%326 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 149 patients
98%149 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
87%325 patients4/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
53%488 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 139 patients
1%139 patients4/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
5%325 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALLIE E ISRAELIT MD
Internal Medicine (Nephrology)
1547 NE 40TH AVE STE B
PORTLAND, OR 97232
Multnomah County (503) 284-1937
STACY LANDERS PA-C
Physician Assistant
1547 NE 40TH AVE STE B
PORTLAND, OR 97232
Multnomah County (503) 284-1937
DR. ROBERT PROVENZANO MD
Internal Medicine (Nephrology)
1547 NE 40TH AVE STE B
PORTLAND, OR 97232
Multnomah County (855) 397-0197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supriya Khan's NPI number?

The NPI number for Supriya Khan is 1023190469. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Dr. Supriya Maddirala MD.

Where is Supriya Khan located?

Supriya Khan practices at 1547 NE 40th Ave Ste B, Portland, OR 97232. The listed phone number is (503) 284-1937.

What is Supriya Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Supriya Khan enrolled in Medicare?

Yes. Supriya Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Supriya Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Khan reassigns Medicare benefits to 10 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR), Legacy Meridian Park Hospital (Tualatin, OR), Tuality Medical Group LLC (Hillsboro, OR), Centennial Medical Group Inc. (Roseburg, OR), St. Alexius Medical Center (Washburn, ND) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Supriya Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Supriya Khan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company and CareSource (Common Ground Healthcare) and 7 other insurers list Supriya Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Supriya Khan affiliated with any hospitals?

According to CMS data, Supriya Khan is affiliated with Chi St Alexius Health, Chi St Alexius Health Dickinson, Mercy Medical Center, Providence Newberg Medical Center and Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Supriya Khan was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.