Individual Healthcare Provider
Sheryl L Khan, RPA
Provider's NPPES record last updated: September 27, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1215009352
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Fayetteville, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (New York)
- 005681-1
Practice Locations
Practice Location
510 Towne Dr
Fayetteville, New York 13066-1331
Phone: (315) 663-0500
Additional Practice Location
5112 W Taft Rd Ste J
Liverpool, New York 13088-4866
Phone: (315) 701-2170
Fax: (315) 701-2185
Record Information
- Enumeration Date
- November 14, 2006
- Provider's NPPES Record Last Updated
- September 27, 2019
- NPISignal NPPES Dataset
- August 2026
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