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AMIR HOSSAIN KHODABANDELOU
NPI 1144547829
Physician Assistant in Severna Park, MD

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
6 SAINT ANDREWS CROSSOVER, SEVERNA PARK, MD 21146(443) 524-2737 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amir Hossain Khodabandelou NPPES

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

AMIR HOSSAIN KHODABANDELOU (NPI 1144547829) is an individual physician assistant in Severna Park, Maryland, licensed in Maryland (C03440) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144547829
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAMIR HOSSAIN KHODABANDELOU
Location Address6 SAINT ANDREWS CROSSOVERSeverna Park, MD 21146-2403
Mailing Address6 Saint Andrews CrossoverSeverna Park, MD 21146-2403
Phone(443) 524-2737
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 21, 2010
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1144547829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C03440
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X · License C0003440 (MD)
6 SAINT ANDREWS CROSSOVER, Severna Park, MD 21146
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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

Amir Hossain Khodabandelou 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 ID3173995990
PECOS Enrollment IDI20230203002081
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21146 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amir Khodabandelou's NPI number?

The NPI number for Amir Khodabandelou is 1144547829. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Amir Khodabandelou located?

Amir Khodabandelou practices at 6 Saint Andrews Crossover, Severna Park, MD 21146. The listed phone number is (443) 524-2737.

What is Amir Khodabandelou's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amir Khodabandelou enrolled in Medicare?

Yes. Amir Khodabandelou 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 Amir Khodabandelou was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.