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EDGAR MEHDIKHANI MD INC.
NPI 1063789774
Internal Medicine - Gastroenterology in Glendale, CA

Active since November 23, 2011
222 W EULALIA ST STE 114, GLENDALE, CA 91204(818) 242-8916(818) 241-7708 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Mehdikhani Md Inc. NPPES

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

EDGAR MEHDIKHANI MD INC. (NPI 1063789774) is a healthcare organization registered as a gastroenterology in Glendale, California and active in the NPI registry since November 2011. The organization lists Edgar Mehdikhani, President, as its authorized official.

NPPES Registry Identity

NPI1063789774
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameEDGAR MEHDIKHANI MD INC.
Location Address222 W EULALIA ST STE 114Glendale, CA 91204-2851
Mailing Address222 W Eulalia St Ste 114Glendale, CA 91204-2851 · (818) 242-8916 · Fax (818) 241-7708
Phone(818) 242-8916
Fax(818) 241-7708
Organization SubpartNo
Authorized OfficialEdgar MehdikhaniPresident · (310) 927-8905
Enumeration DateNovember 23, 2011
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1063789774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A96024
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
222 W EULALIA ST STE 114, Glendale, CA 91204
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Mehdikhani Md Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edgar Mehdikhani MD Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Edgar Mehdikhani, MD
Gastroenterology
NPI 1962680348
222 W EULALIA ST SUITE 114
Glendale, CA 91204
(818) 242-8916
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Mehdikhani MD Inc.'s NPI number?

The NPI number for Edgar Mehdikhani MD Inc. is 1063789774. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Edgar Mehdikhani MD Inc. located?

Edgar Mehdikhani MD Inc. is located at 222 W Eulalia St Ste 114, Glendale, CA 91204. The listed phone number is (818) 242-8916.

What is Edgar Mehdikhani MD Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edgar Mehdikhani MD Inc. enrolled in Medicare?

Yes. Edgar Mehdikhani MD Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgar Mehdikhani MD Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Edgar Mehdikhani MD Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edgar Mehdikhani MD Inc. was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.