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

Shawn Khosla

Individual provider Family Medicine Physician · NPI 1144858523

Shawn Khosla is a Family Practice in Hazelwood, Missouri. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2020, 6 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MO
In the registry since
2020
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Practice location Address checks out

637 Dunn Rd Ste 102A
Hazelwood, MO 63042-1755
Phone: (314) 831-0086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20222047876 (MO)

Record details

NPI number1144858523
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address637 Dunn Rd Ste 102a, Hazelwood, MO 63042-1755

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Hazelwood