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Samra Ejaz Khan

Physician Assistant β€’ Kent, WA

Active NPI 1639650781 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

26004 104th Ave Se
Kent, WA 980307677

Call 4252514040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

26004 104th Ave Se

Kent, WA 980307677

Telephone 4252514040
Fax 4252514126
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Washington Facility NPI 1265566277

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

30-day fills

340 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$5,319 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samra Khan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samra Khan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kent and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Too few clinicians listed under Physician Assistant in Kent have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

Too few clinicians listed under Physician Assistant in Kent have Medicare Part D data for 2024 to compare.

9 active clinicians are listed under Physician Assistant with a practice address in Kent, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Losartan Potassium Losartan Potassium 19 1,648 $311.54 12
Amlodipine Besylate Amlodipine Besylate 16 1,380 $226.16 β€”
Lisinopril Lisinopril 14 1,260 $154.14 β€”
Atorvastatin Calcium Atorvastatin Calcium 14 1,260 $160.14 β€”
Omeprazole Omeprazole 14 900 $123.25 β€”
Levothyroxine Sodium Levothyroxine Sodium 13 706 $194.55 β€”
Metformin Hcl Metformin Hcl 13 1,170 $146.00 β€”
Metoprolol Succinate Metoprolol Succinate 13 1,110 $149.80 β€”
Spiriva Respimat Tiotropium Bromide 12 360 $3,625.04 β€”
Albuterol Sulfate Hfa Albuterol Sulfate 12 254 $228.45 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA61007133

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200228001458

Enrollment State Jurisdiction

WA

PECOS Control ID

0244667467

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of Washington

26004 104th Ave Se, Kent, WA 980307677

Phone: 4252514050

Kaiser Foundation Health Plan Of Washington

200 15th Ave E, Seattle, WA 981125260

Phone: 2063263000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Josiah Belzer , MD

Family Medicine

NPI 1619409273

Doctor of Medicine (M.D.)

Dr. Alice Franck , MD

Family Medicine

NPI 1548352206

Doctor of Medicine (M.D.)

Dr. Amarbir Gill , MD

Family Medicine

NPI 1093921496

Doctor of Medicine (M.D.)

NPI 1922152644

Doctor of Medicine (M.D.)

Dr. Regina Kim , MD

Family Medicine

NPI 1386746311

Doctor of Medicine (M.D.)

Dr. Robert Larson , MD

Family Medicine

NPI 1881617488

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location February 06, 2020

Registered at 26004 104TH AVE SE, KENT, WA 980307677 (Tel: 4252514040)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2020

Physician Assistant (license number reported to NPPES: WA PA61007133)

πŸ“
Updated Practice Location January 12, 2020

Registered at 26004 104TH AVE SE, KENT, WA 98030 (Tel: 4252514040)

πŸ“
Updated Business Mailing Address January 12, 2020

Registered at 26004 104TH AVE SE, KENT, WA 980307677 (Tel: 4252514040)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2020

Physician Assistant

βœ…
NPI Profile Active August 27, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 27, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

πŸ“
Business Mailing Address (Initial Record) August 27, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

πŸ‘€
Provider Name / Credentials (Initial Record) August 27, 2018

Recorded as SAMRA KHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 27, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639650781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2018
Last Update: April 22, 2021
Sole Proprietor: No

Other Physician Assistants in Kent

Healthcare providers in Kent

Mailing Address

26004 104th Ave Se

Kent, WA 980307677

Phone: 4252514040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.