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DR. MOHAMMAD CYRUS KHALEDY MD
NPI 1104190974
Internal Medicine in Panorama City, CA

Active since February 27, 2012PECOS Enrolled
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2859 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mohammad Cyrus Khaledy Md NPPES

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

DR. MOHAMMAD CYRUS KHALEDY MD (NPI 1104190974) is an individual internal medicine provider in Panorama City, California, licensed in California (A121899) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104190974
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMMAD CYRUS KHALEDYCredential: MD
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2859
Phone(818) 375-2859
Sole ProprietorYes
Enumeration DateFebruary 27, 2012
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1104190974 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 · A121899
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.
13652 CANTARA ST, Panorama City, CA 91402
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Other Names 1

Other Name (5)Dr. Cyrus Khaledy Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammad Cyrus Khaledy 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.

Medicare Billing Reassignment

Medicare enrollment records show Mohammad Khaledy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
13652 CANTARA ST
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1407888928 (818) 375-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91402 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DR. JULIE KAYU HUANG PHARM.D.
Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2443
GLORIA S TONGSON NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
DOUGLAS L. CALDWELL MD
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
SILVIA N. COMPEAN MD
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
LILIA V LORD RD
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-3484
ELAINA NGO
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-4217
TINA J WOOLFORK NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
ANGELINE LI PING ONG SU MD
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000

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 Mohammad Khaledy's NPI number?

The NPI number for Mohammad Khaledy is 1104190974. It was assigned to this individual provider in the NPPES registry on February 27, 2012. The provider is also known as Dr. Cyrus Khaledy MD.

Where is Mohammad Khaledy located?

Mohammad Khaledy practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2859.

What is Mohammad Khaledy's specialty?

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

Is Mohammad Khaledy enrolled in Medicare?

Yes. Mohammad Khaledy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammad Khaledy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Khaledy reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, CA). The 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 Mohammad Khaledy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mohammad Khaledy was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.