DR. KHANH PHUONG DO MD
NPI 1154942282
Family Medicine in Shawnee, OK

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
3214 J D KETHLEY RD, SHAWNEE, OK 74804(405) 395-5600(405) 395-0852 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jul 7, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Dr. Khanh Phuong Do Md NPPES

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

DR. KHANH PHUONG DO MD (NPI 1154942282) is an individual family medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (41464) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154942282
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KHANH PHUONG DOCredential: MD
Location Address3214 J D KETHLEY RDShawnee, OK 74804-9625
Mailing Address3214 J D Kethley RdShawnee, OK 74804 · (405) 395-5600 · Fax (405) 395-0852
Fax(405) 395-0852
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1154942282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 41464
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.
3214 J D KETHLEY RD, Shawnee, OK 74804

Accepted 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. Khanh Phuong Do 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 ID7618440942
PECOS Enrollment IDI20260626003304
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

2

Medicare enrollment records show Khanh Do reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2029 GORDON COOPER DR
Shawnee, OK 74801
  • Reassigned Medicare billing, Oklahoma enrollment
  • 86 clinicians in this Medicare group
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Khanh Do's NPI number?

The NPI number for Khanh Do is 1154942282. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Khanh Do located?

Khanh Do practices at 3214 J D Kethley Rd, Shawnee, OK 74804. The listed phone number is (405) 395-5600.

What is Khanh Do's specialty?

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

Is Khanh Do enrolled in Medicare?

Yes. Khanh Do 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 Khanh Do's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khanh Do reassigns Medicare benefits to 2 organizations: Absentee Shawnee Tribal Health Authority, Inc. (Shawnee, OK) and Saints Medical Group, LLC (Oklahoma City, OK). 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 Khanh Do's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khanh Do accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Khanh Do 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.

When was this NPI record last updated?

The NPPES record for Khanh Do was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.