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SOPHIA KHALIL PA-C
NPI 1700426988
Physician Assistant in Albuquerque, NM

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
201 CEDAR ST SE STE 5660, ALBUQUERQUE, NM 87106(505) 563-6565 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2021, Jun 17, 2021, Mar 3, 2021 and 1 more (4 updates tracked since 2020).

About Sophia Khalil Pa-c NPPES

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

SOPHIA KHALIL PA-C (NPI 1700426988) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2021-0062) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700426988
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA KHALILCredential: PA-C
Location Address201 CEDAR ST SE STE 5660Albuquerque, NM 87106-4920
Mailing AddressPo Box 2666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 563-6565
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 15, 2020
Last NPPES UpdateSeptember 10, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1700426988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2021-0062
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 CEDAR ST SE STE 5660, Albuquerque, NM 87106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Khalil Pa-c 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 ID9032515366
PECOS Enrollment IDI20210910002090
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 5

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.
271 services187 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 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.
86 services77 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
20 services18 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 3

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

CLOYCE ELIZABETH BLAKELY PA-C
Physician Assistant
201 CEDAR ST SE STE 5660
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6565
MR. GEORGE MATTHEW DOW NP
Nurse Practitioner
201 CEDAR ST SE STE 5660
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6565
MRS. ANNA JEANNE GEAR CNP
Nurse Practitioner (Family)
201 CEDAR ST SE STE 5660
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6565

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 Sophia Khalil's NPI number?

The NPI number for Sophia Khalil is 1700426988. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Sophia Khalil located?

Sophia Khalil practices at 201 Cedar St SE Ste 5660, Albuquerque, NM 87106. The listed phone number is (505) 563-6565.

What is Sophia Khalil's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophia Khalil enrolled in Medicare?

Yes. Sophia Khalil 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.

What insurance does Sophia Khalil accept?

Health plans from UnitedHealthcare list Sophia Khalil 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.

Is Sophia Khalil affiliated with any hospitals?

According to CMS data, Sophia Khalil is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Khalil was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.