DR. SUMRA SHAHIN KHAN D.M.D.
NPI 1487826145
Dentist in Peabody, MA

Q: What is Sumra Khan's NPI number?

The NPI number for Sumra Khan is 1487826145. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Q: What is Sumra Khan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Sumra Khan enrolled in Medicare?

No. Sumra Khan has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sumra Khan was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 01, 2008Opted out of Medicare · through Mar 16, 2028

39 CROSS ST, SUITE 307, PEABODY, MA 01960(978) 717-5819(978) 717-5826 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sumra Shahin Khan D.m.d. NPPES

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

DR. SUMRA SHAHIN KHAN D.M.D. (NPI 1487826145) is an individual dentist in Peabody, Massachusetts, licensed in Massachusetts (1855555) and active in the NPI registry since April 2008. She has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487826145

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SUMRA SHAHIN KHANCredential: D.M.D.

Location Address39 CROSS ST, SUITE 307Peabody, MA 01960-1670

Mailing Address39 Cross St, Suite 307Peabody, MA 01960-1670 · (978) 717-5819 · Fax (978) 717-5826

Phone(978) 717-5819

Fax(978) 717-5826

Sole ProprietorYes

Enumeration DateApril 1, 2008

Last NPPES UpdateNovember 5, 2013

✔ NPI 1487826145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MA · 1855555✔ Licensed in FL · 19089

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

39 CROSS ST, Peabody, MA 01960

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sumra Shahin Khan D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016

Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

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 11

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

MICHAEL INDELICATO D.O.

Internal Medicine (Rheumatology)

39 CROSS ST, SUITE 103
PEABODY, MA 01960

Essex County (978) 532-4077

ARTHRITIS ASSOCIATES, INC.

Specialist

39 CROSS ST, SUITE 103
PEABODY, MA 01960

Essex County (978) 532-4077

DR. INHWAN HONG D.M.D

Dentist (General Practice)

39 CROSS ST, #102
PEABODY, MA 01960

Essex County (978) 351-2122

KAREN P. SZCZECHOWICZ M.D., PC

Pediatrics

39 CROSS ST, SUITE 306
PEABODY, MA 01960

Essex County (978) 538-3131

ARTHRITIS ASSOCIATES, INC

Internal Medicine (Rheumatology)

39 CROSS ST, SUITE 103
PEABODY, MA 01960

Essex County (978) 532-4077

DR. KEITH WILLIAM RAE D.M.D., M.D.

Plastic Surgery

39 CROSS ST, SUITE 109
PEABODY, MA 01960

Essex County (978) 741-9004

MR. JOSEPH S O CONNOR PT SCS

Physical Therapist (Sports)

39 CROSS ST, SUITE 205
PEABODY, MA 01960

Essex County (978) 538-7370

ARTHRITIS ASSOCIATES INC

Specialist

39 CROSS ST
PEABODY, MA 01960

Essex County (617) 967-8815

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 Sumra Khan's NPI number?

The NPI number for Sumra Khan is 1487826145. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Sumra Khan located?

Sumra Khan practices at 39 Cross St Suite 307, Peabody, MA 01960. The listed phone number is (978) 717-5819.

What is Sumra Khan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sumra Khan enrolled in Medicare?

No. Sumra Khan has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sumra Khan accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Sumra Khan 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 Sumra Khan was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.