SOPHIA S KHAN M.D
NPI 1417186842
Family Medicine in Mount Laurel, NJ

Q: What is Sophia Khan's NPI number?

The NPI number for Sophia Khan is 1417186842. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Sophia Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophia Khan was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment

100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054(856) 380-2400(856) 234-7870 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Jun 6, 2023, Oct 9, 2018 (3 updates tracked since 2018).

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About Sophia S Khan M.d NPPES

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

SOPHIA S KHAN M.D (NPI 1417186842) is an individual family medicine provider in Mount Laurel, New Jersey, licensed in New Jersey (25MA09247800) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1417186842

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSOPHIA S KHANCredential: M.D

Location Address100 CENTURY PKWY STE 140Mount Laurel, NJ 08054-1149

Mailing Address100 Century Pkwy Ste 140Mount Laurel, NJ 08054-1149 · (856) 380-2400 · Fax (856) 234-7870

Phone(856) 380-2400

Fax(856) 234-7870

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 7, 2009

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1417186842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NJ · 25MA09247800✔ Licensed in VA · 0116021677

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.

100 CENTURY PKWY STE 140, Mount Laurel, NJ 08054

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Other Identifiers 1

Medicaid0357855NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sophia S 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 ID4284873126

PECOS Enrollment IDI20130625000466

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 2

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.

92 services57 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.

48 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 6

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

MRS. DIANNA M SHINKAROW MSN, APRN, NP-C

Nurse Practitioner (Family)