Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Supriya Khan, MD

Individual provider Nephrology Physician · NPI 1023190469

Dr. Supriya Khan, MD is a Nephrology in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Legacy Meridian Park Hospital, a 110-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky, Oregon, Washington and Wisconsin.

Years since qualifying
27
Licensed in
KY, OR, WA, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1547 NE 40th Ave Ste B
Portland, OR 97232-1862
Phone: (503) 284-1937
Fax: (503) 284-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 — (606) 218-6408
  • 19300 Sw 65th Ave, Tualatin, OR 97062-7706 — (503) 692-1212
  • 2020 Riverside Dr, Green Bay, WI 54301-2300 — (920) 433-9920

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD 28660 (OR)
Nephrology Physician Taxonomy 207RN0300X · Licence 87744-20 (WI)
Nephrology Physician Taxonomy 207RN0300X · Licence MD60054413 (WA)
Nephrology Physician Taxonomy 207RN0300X · Licence 54992 (KY)

Record details

NPI number1023190469
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Legacy Meridian Park Hospital — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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