Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAHYAR MAHDAVI DORAJI MD
NPI 1063114627
Internal Medicine in Modesto, CA

Q: What is Mahyar Mahdavi Doraji's NPI number?

The NPI number for Mahyar Mahdavi Doraji is 1063114627. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Mahyar Mahdavi Doraji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 20, 2023PECOS Enrolled

600 COFFEE RD, MODESTO, CA 95355(209) 569-7408(209) 491-7587 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Apr 11, 2024, Mar 20, 2023 (3 updates tracked since 2023).

On this page

About Mahyar Mahdavi Doraji Md NPPES

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

MAHYAR MAHDAVI DORAJI MD (NPI 1063114627) is an individual internal medicine provider in Modesto, California, licensed in California (A207251) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Inverness.

NPPES Registry Identity

NPI1063114627

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMAHYAR MAHDAVI DORAJICredential: MD

Location Address600 COFFEE RDModesto, CA 95355-4201

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(209) 569-7408

Fax(209) 491-7587

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1063114627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A207251

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

600 COFFEE RD, Modesto, CA 95355

Open in Google Maps ↗

Secondary Practice Location 1

Location 1502 W Highland BlvdInverness, FL 34452-4720 · Phone (352) 344-6987

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahyar Mahdavi Doraji Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADHA CHIRUMAMILLA M.D.

Hospitalist