Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHER ALI KHAN M.D
NPI 1104372200
Preventive Medicine - Addiction Medicine in Gallup, NM

Active since August 29, 2016PECOS Enrolled
1900 RED ROCK DR, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Sep 25, 2024, Jun 17, 2020 and 1 more (4 updates tracked since 2016).

About Sher Ali Khan M.d NPPES

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

SHER ALI KHAN M.D (NPI 1104372200) is an individual addiction medicine provider in Gallup, New Mexico, licensed in New Mexico (MD2022-1359) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Cibola General Hospital, and maintains a secondary practice location in Gallup.

NPPES Registry Identity

NPI1104372200
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameSHER ALI KHANCredential: M.D
Location Address1900 RED ROCK DRGallup, NM 87301-5682
Mailing Address1900 Red Rock DrGallup, NM 87301-5682 · (505) 863-1820
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2016
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1104372200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License Licensed in NM · MD2022-1359
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.067977 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2020-0468 (NM)
1900 RED ROCK DR, Gallup, NM 87301

Secondary Practice Location 1

Location 11901 Red Rock DrGallup, NM 87301-5683 · Phone (505) 863-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sher Ali Khan M.d 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 ID9638467616
PECOS Enrollment IDI20231110001478
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.

Hospital Affiliations CMS Care Compare 2

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

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

Surgery
1900 RED ROCK DR
GALLUP, NM 87301
Clinic/Center (Rural Health)
1900 RED ROCK DR
GALLUP, NM 87301
Urology
1900 RED ROCK DR
GALLUP, NM 87301

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 Sher Ali Khan's NPI number?

The NPI number for Sher Ali Khan is 1104372200. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Sher Ali Khan located?

Sher Ali Khan practices at 1900 Red Rock Dr, Gallup, NM 87301. The listed phone number is (505) 863-1820.

What is Sher Ali Khan's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Sher Ali Khan enrolled in Medicare?

Yes. Sher Ali 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.

Is Sher Ali Khan affiliated with any hospitals?

According to CMS data, Sher Ali Khan is affiliated with Cibola General Hospital and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Sher Ali Khan was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.