SUMERRA KHAN D.O.
NPI 1154731818
Family Medicine in Modesto, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Sumerra Khan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for Sumerra Khan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumerra Khan reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Stockton, CA), Northbay Healthcare Group (Fairfield, CA) and Northbay Health Medical Foundation (Fairfield, CA). 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 Sumerra Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sumerra Khan was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Sumerra Khan, D.O. · NPI 1154731818
Family Medicine physician in Modesto, California. Individual provider, active in the CMS NPPES registry since May 4, 2014.
## Identity
- **NPI:** 1154731818 (Entity type: Individual)
- **Enumerated:** May 4, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14382 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 PARADISE RD, STE E, Modesto, CA 95351-3163
- **Phone:** (209) 558-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Northbay Healthcare Group (NPI 1821147786, Fairfield, CA); Northbay Health Medical Foundation (NPI 1760283527, Fairfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2014
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154731818) · Data from the CMS NPPES public registry.