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

DR. SAN KYAW KHINE MD
NPI 1457734642
Internal Medicine - Nephrology in New York, NY

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
315 MADISON AVE RM 1628, NEW YORK, NY 10017(929) 551-3588 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Mar 26, 2026, Aug 31, 2020 (3 updates tracked since 2020).

About Dr. San Kyaw Khine Md NPPES

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

DR. SAN KYAW KHINE MD (NPI 1457734642) is an individual nephrology provider in New York, New York, licensed in New Jersey (25MA10909800) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1457734642
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SAN KYAW KHINECredential: MD
Location Address315 MADISON AVE RM 1628New York, NY 10017-5457
Mailing Address315 Madison Ave Rm 1628New York, NY 10017-5457 · (929) 551-3588
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 7, 2015
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1457734642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NJ · 25MA10909800 Licensed in ME · MD28801
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
315 MADISON AVE RM 1628, New York, NY 10017

Secondary Practice Locations 5

Location 1870 Palisade Ave Ste 202Teaneck, NJ 07666-3445 · Phone (551) 996-9189 · Fax (201) 836-8042
Location 2125 Northport Ave Ste 106Belfast, ME 04915-6002 · Phone (207) 505-4080 · Fax (207) 800-4338
Location 3510 31st St BsmtUnion City, NJ 07087-3907 · Phone (201) 866-3322 · Fax (201) 866-2289
Location 41545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4000
Location 515 Anchor Dr Ste 202Rockport, ME 04856-3848 · Phone (207) 301-3640 · Fax (207) 301-5140

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

Dr. San Kyaw Khine 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 ID9931519444
PECOS Enrollment IDI20241217004006
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.

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.52
Promoting Interoperability98
Improvement Activities40

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 San Khine's NPI number?

The NPI number for San Khine is 1457734642. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is San Khine located?

San Khine practices at 315 Madison Ave Rm 1628, New York, NY 10017. The listed phone number is (929) 551-3588.

What is San Khine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is San Khine enrolled in Medicare?

Yes. San Khine 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 San Khine affiliated with any hospitals?

According to CMS data, San Khine is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for San Khine was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.