DR. BAHRAM KHADIVI M.D.
NPI 1083899397
Internal Medicine in San Diego, CA

Q: What is Bahram Khadivi's NPI number?

The NPI number for Bahram Khadivi is 1083899397. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Q: What is Bahram Khadivi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bahram Khadivi was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 04, 2008PECOS EnrolledAccepts Medicare Assignment

402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bahram Khadivi M.d. NPPES

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

DR. BAHRAM KHADIVI M.D. (NPI 1083899397) is an individual internal medicine provider in San Diego, California, licensed in California (A100290) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2005).

NPPES Registry Identity

NPI1083899397

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BAHRAM KHADIVICredential: M.D.

Location Address402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380San Diego, CA 92103-6902

Mailing Address402 Dickinson St, Multipurpose Facility, Suite 380San Diego, CA 92103-6902 · (619) 543-6268

Phone(619) 543-6268

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2005

Enumeration DateJanuary 4, 2008

Last NPPES UpdateDecember 6, 2021

✔ NPI 1083899397 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 · A100290

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.

402 DICKINSON ST, San Diego, CA 92103

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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 and accepts Medicare assignment

Dr. Bahram Khadivi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143379958

PECOS Enrollment IDI20090528000185

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

34 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 15

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

NICHOLAS PENNER M.D.

Student in an Organized Health Care Education/Training Program

402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103

San Diego County (619) 543-6529

HEATHER ABRAHIM

Registered Nurse

402 DICKINSON ST
SAN DIEGO, CA 92103

San Diego County (858) 869-5289

DR. STERLING MYLES DUBIN M.D.

Internal Medicine (Gastroenterology)

402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103

San Diego County (619) 543-3973

SOPHIE MARIE DICKINSON

Student in an Organized Health Care Education/Training Program

402 DICKINSON ST
SAN DIEGO, CA 92103

San Diego County (619) 543-8254

DR. SURESH BABU RANGARAJAN M.D., MSC

Internal Medicine

402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380
SAN DIEGO, CA 92103

San Diego County (619) 543-6268

DR. IDA C WONG-SEFIDAN M.D.

Internal Medicine

402 DICKINSON ST, MPF 3-320
SAN DIEGO, CA 92103

San Diego County (619) 543-1849

DR. ASHMI DOSHI M.D

Hospitalist

402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103

San Diego County (619) 543-6287

DR. TIFFANY NICOLE TANAKA M.D.

Internal Medicine (Hematology & Oncology)

402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103

San Diego County (619) 290-7497

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 Bahram Khadivi's NPI number?

The NPI number for Bahram Khadivi is 1083899397. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Where is Bahram Khadivi located?

Bahram Khadivi practices at 402 Dickinson St Multipurpose Facility, Suite 380, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Bahram Khadivi's specialty?

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

Is Bahram Khadivi enrolled in Medicare?

Yes. Bahram Khadivi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bahram Khadivi was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.