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SUMERRA KHAN D.O.
NPI 1154731818
Family Medicine in Modesto, CA

Active since May 04, 2014PECOS EnrolledAccepts Medicare Assignment
401 PARADISE RD, STE E, MODESTO, CA 95351(209) 558-4000 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sumerra Khan D.o. NPPES

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

SUMERRA KHAN D.O. (NPI 1154731818) is an individual family medicine provider in Modesto, California, licensed in California (14382) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2014).

NPPES Registry Identity

NPI1154731818
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUMERRA KHANCredential: D.O.
Location Address401 PARADISE RD, STE EModesto, CA 95351-3163
Mailing Address401 Paradise RdModesto, CA 95351-3163
Phone(209) 558-4000
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2014
Enumeration DateMay 4, 2014
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1154731818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 14382
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

401 PARADISE RD, Modesto, CA 95351
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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

Sumerra Khan D.o. 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 ID7517225600
PECOS Enrollment IDI20171219001135
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.

Areas of Expertise CMS Part B claims 8

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.

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.
278 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services31 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
26 services26 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95351 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

DR. CHUN JOEY CHANG M.D.
Emergency Medicine
401 PARADISE RD, #E
MODESTO, CA 95351
Stanislaus County (209) 558-5107
NEGIN TAHER
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
ANDERS E GRANT MD
Student in an Organized Health Care Education/Training Program
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 525-6225
MR. MARCIO CORREA PA-C
Physician Assistant
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 558-5142
DR. PETER BRODERICK M.D., M.ED.
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
DR. PATRICIO CLAVECILLAS JR. MD
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000

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 Sumerra Khan's NPI number?

The NPI number for Sumerra Khan is 1154731818. It was assigned to this individual provider in the NPPES registry on May 4, 2014.

Where is Sumerra Khan located?

Sumerra Khan practices at 401 Paradise Rd Ste E, Modesto, CA 95351. The listed phone number is (209) 558-4000.

What is Sumerra Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sumerra Khan enrolled in Medicare?

Yes. Sumerra 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.

When was this NPI record last updated?

The NPPES record for Sumerra Khan was last updated on April 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.