AIDAN CHENG KHODA DO
NPI 1053037481
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Aidan Khoda's NPI number?

The NPI number for Aidan Khoda is 1053037481. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Q: What is Aidan Khoda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Aidan Khoda was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2022PECOS Enrolled

3209 DRYDEN DR, MADISON, WI 53704(608) 241-9020(608) 274-0310 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Apr 11, 2024, Oct 17, 2022 (3 updates tracked since 2022).

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About Aidan Cheng Khoda Do NPPES

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

AIDAN CHENG KHODA DO (NPI 1053037481) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053037481

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAIDAN CHENG KHODACredential: DO

Location Address3209 DRYDEN DRMadison, WI 53704-3015

Mailing Address1100 Delaplaine CtMadison, WI 53715-1840 · (608) 263-4550

Phone(608) 241-9020

Fax(608) 274-0310

Sole ProprietorNo

Enumeration DateOctober 17, 2022

Last NPPES UpdateJune 5, 20243 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1053037481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3209 DRYDEN DR, Madison, WI 53704

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aidan Cheng Khoda Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.