SHAMSUDDIN KHWAJA M D INC
NPI 1699006650
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Clovis, CA

Q: What is Shamsuddin Khwaja M D Inc's NPI number?

The NPI number for Shamsuddin Khwaja M D Inc is 1699006650. It was assigned to this organization in the NPPES registry on January 14, 2010.

Q: What is Shamsuddin Khwaja M D Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since January 14, 2010

729 WEST MEDICAL CENTER DR W SUITE 223, CLOVIS, CA 93611(559) 449-9990(559) 449-9991 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Shamsuddin Khwaja M D Inc NPPES

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

SHAMSUDDIN KHWAJA M D INC (NPI 1699006650) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Clovis, California and active in the NPI registry since January 2010. The organization maintains a secondary practice location in Fresno and lists Gloria Supernaw, Billing Contracting Mgr, as its authorized official.

NPPES Registry Identity

NPI1699006650

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameSHAMSUDDIN KHWAJA M D INC

Location Address729 WEST MEDICAL CENTER DR W SUITE 223Clovis, CA 93611-6885

Mailing Address729 West Medical Center Dr W Suite 223Clovis, CA 93611-6885 · (559) 449-9990 · Fax (559) 449-9991

Phone(559) 449-9990

Fax(559) 449-9991

Organization SubpartNo

Authorized OfficialGloria SupernawBilling Contracting Mgr · (559) 935-5491

Enumeration DateJanuary 14, 2010

Last NPPES UpdateFebruary 6, 2020

✔ NPI 1699006650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A859070

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

729 WEST MEDICAL CENTER DR W SUITE 223, Clovis, CA 93611

Open in Google Maps ↗

Secondary Practice Location 1

Location 17575 N Cedar Ave Ste 101Fresno, CA 93720-2693 · Phone (559) 449-9990 · Fax (559) 449-9991

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamsuddin Khwaja M D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Shamsuddin Khwaja M D Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6

Thoracic Surgery5

General Surgery1

Clinicians, nearest first (12)

Alexander Calkins, MSN, NP, AGACNP-BC

Nurse Practitioner

NPI 1740929314

729 N MEDICAL CENTER DR W STE 223
Clovis, CA 93611

(559) 449-9990

✔ PECOS✔ Accepts MedicareSame address

Lisa Wilkins

Nurse Practitioner

NPI 1194308031

729 N MEDICAL CENTER DR W STE 223
Clovis, CA 93611

(559) 449-9990

✔ PECOS✔ Accepts MedicareSame address

Ashley Bowers, NP

Nurse Practitioner

NPI 1851071229

729 N MEDICAL CENTER DR W STE 223
Clovis, CA 93611

(559) 449-9990

✔ PECOS✔ Accepts MedicareSame address

Leda Lurleen Lauc, NP

Nurse Practitioner

NPI 1497274385

7130 N MILLBROOK AVE
Fresno, CA 93720

(559) 326-1222

✔ PECOS5.7 mi

Shamsuddin Khwaja, M.D.

General Surgery

NPI 1679570527

1201 E HERNDON AVE VALLEY CARDIAC SURGERY, SUITE 107
Fresno, CA 93720

(559) 435-3740

✔ PECOS✔ Accepts Medicare5.9 mi

Suzanne Vartanian, NP

Nurse Practitioner

NPI 1558922443

205 E RIVER PARK CIR STE 460
Fresno, CA 93720

(559) 261-4500

✔ PECOS✔ Accepts Medicare7.0 mi

Robert Stewart, MD

Thoracic Surgery

NPI 1659350668

30 E RIVER PARK PL W #260
Fresno, CA 93720

(559) 441-1777

✔ PECOS✔ Accepts Medicare7.2 mi

Leheb Araim, M.D.

Thoracic Surgery

NPI 1083623540

202 W WILLOW AVE SUITE 405
Visalia, CA 93291

(559) 622-8500

✔ PECOS✔ Accepts Medicare41 mi

Navjot Janday, FNP

Nurse Practitioner

NPI 1679006324

2221 STOCKTON BLVD STE E
Sacramento, CA 95817

(916) 734-2860

✔ PECOS✔ Accepts Medicare154 mi

Jeremy Song, M.D.

Thoracic Surgery

NPI 1467879379

6630 S MCCARRAN BLVD STE 202
Reno, NV 89509

(775) 525-9151

✔ PECOS✔ Accepts Medicare182 mi

Heidi Reich, M.D.

Thoracic Surgery

NPI 1730440686

8700 BEVERLY BLVD DEPT OF SURGERY, 8215 NT
Los Angeles, CA 90048

(310) 423-5849

✔ PECOS✔ Accepts Medicare204 mi

Sujata Subramanian, MD

Thoracic Surgery

NPI 1487792057

2401 S 31ST ST
Temple, TX 76508

(254) 724-2111

✔ PECOS✔ Accepts Medicare1,337 mi

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 Shamsuddin Khwaja M D Inc's NPI number?

The NPI number for Shamsuddin Khwaja M D Inc is 1699006650. It was assigned to this organization in the NPPES registry on January 14, 2010.

Where is Shamsuddin Khwaja M D Inc located?

Shamsuddin Khwaja M D Inc is located at 729 West Medical Center Dr W Suite 223, Clovis, CA 93611. The listed phone number is (559) 449-9990.

What is Shamsuddin Khwaja M D Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shamsuddin Khwaja M D Inc enrolled in Medicare?

Yes. Shamsuddin Khwaja M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shamsuddin Khwaja M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Shamsuddin Khwaja M D Inc. 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. The largest specialties are Nurse Practitioner (6), Thoracic Surgery (5) and General Surgery (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shamsuddin Khwaja M D Inc was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.