EDNA KHODADADIAN MD
NPI 1124198569
Internal Medicine - Gastroenterology in Manhasset, NY
About Edna Khodadadian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDNA KHODADADIAN MD (NPI 1124198569) is an individual gastroenterology provider in Manhasset, New York, licensed in New York (205341) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).
NPPES Registry Identity
Specialties & Licenses
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
Edna Khodadadian Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Edna Khodadadian's NPI number?
The NPI number for Edna Khodadadian is 1124198569. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Edna Khodadadian located?
Edna Khodadadian practices at Nsuh - Dept Of Medicine 300 Community Drive, Manhasset, NY 11030. The listed phone number is (516) 562-4281.
What is Edna Khodadadian's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Edna Khodadadian enrolled in Medicare?
Yes. Edna Khodadadian 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.
Is Edna Khodadadian affiliated with any hospitals?
According to CMS data, Edna Khodadadian is affiliated with North Shore University Hospital.
When was this NPI record last updated?
The NPPES record for Edna Khodadadian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Edna Khodadadian, MD · NPI 1124198569
Gastroenterology physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1124198569 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 205341 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** NSUH - DEPT OF MEDICINE, 300 COMMUNITY DRIVE, Manhasset, NY 11030
- **Phone:** (516) 562-4281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 1995
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1124198569) · Data from the CMS NPPES public registry.