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SOPHIA KHAN M.D.
NPI 1891185724
Surgery - Vascular Surgery in Houston, TX

Active since January 30, 2015PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
6400 FANNIN ST, SUITE 2850, HOUSTON, TX 77030(713) 486-5100(713) 512-7200 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Sophia Khan M.d. NPPES

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

SOPHIA KHAN M.D. (NPI 1891185724) is an individual vascular surgery provider in Houston, Texas, licensed in Texas (S3005) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2011).

NPPES Registry Identity

NPI1891185724
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameSOPHIA KHANCredential: M.D.
Location Address6400 FANNIN ST, SUITE 2850Houston, TX 77030-1521
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-6161
Phone(713) 486-5100
Fax(713) 512-7200
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2011
Enumeration DateJanuary 30, 2015
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1891185724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in TX · S3005✔ Licensed in MN · 65646
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
6400 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Medicaid403462104TX
Other403462103TX · Cshch

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Khan M.d. 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 ID1557695368
PECOS Enrollment IDI20251119002394
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services28 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES 20

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

TEXAS MEDICAL CENTER DENTAL
Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Harris County (713) 795-0608
SCOTT JAMES RYAN MD
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 486-5100
KRISTIN WHANGER PACINI PA
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Harris County (713) 486-1800
DR. RANA OMAR AFIFI MD
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Harris County (713) 486-5100
DR. MICHAEL S SWEENEY M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Harris County (713) 790-0841
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Harris County (713) 740-2200
TARA L WEGRYN MD PA
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Harris County (713) 791-9778
JORDANNA ESPANOLA MSN, RN, FNP-C
Nurse Practitioner (Family)
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (281) 914-9756

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 Khan's NPI number?

The NPI number for Sophia Khan is 1891185724. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Sophia Khan located?

Sophia Khan practices at 6400 Fannin St Suite 2850, Houston, TX 77030. The listed phone number is (713) 486-5100.

What is Sophia Khan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Sophia Khan enrolled in Medicare?

Yes. Sophia Khan 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 Khan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sophia 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.

Is Sophia Khan affiliated with any hospitals?

According to CMS data, Sophia Khan is affiliated with Upmc Mckeesport Hospital, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Sophia Khan was last updated on December 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.