ENLIGHTENMED
NPI 1619767985
Internal Medicine in San Francisco, CA
About Enlightenmed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENLIGHTENMED (NPI 1619767985) is a healthcare organization registered as an internal medicine in San Francisco, California and active in the NPI registry since May 2025. The organization lists Shah Khan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Enlightenmed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Enlightenmed, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Enlightenmed's NPI number?
The NPI number for Enlightenmed is 1619767985. It was assigned to this organization in the NPPES registry on May 9, 2025.
Where is Enlightenmed located?
Enlightenmed is located at 2100 Webster St Ste 404, San Francisco, CA 94115. The listed phone number is (210) 551-7052.
What is Enlightenmed's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Enlightenmed enrolled in Medicare?
Yes. Enlightenmed is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Enlightenmed?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Enlightenmed, in Family Practice and Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Enlightenmed was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Enlightenmed · NPI 1619767985
Internal Medicine organization in San Francisco, California. Organization record, active in the CMS NPPES registry since May 9, 2025.
## Identity
- **NPI:** 1619767985 (Entity type: Organization)
- **Enumerated:** May 9, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shah Khan, OWNER
## Practice location
- **Address:** 2100 WEBSTER ST STE 404, San Francisco, CA 94115-2379
- **Phone:** (210) 551-7052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619767985) · Data from the CMS NPPES public registry.