KHASHAYAR KHOSRAVIANI MD
NPI 1144592205
Internal Medicine - Rheumatology in Santa Rosa, CA

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, DEPT OF RHEUMATOLOGY SUITE 160, SANTA ROSA, CA 95403(707) 393-4155 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 17, 2021, Jun 27, 2016 (2 updates tracked since 2016).

About Khashayar Khosraviani Md NPPES

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

KHASHAYAR KHOSRAVIANI MD (NPI 1144592205) is an individual rheumatology provider in Santa Rosa, California, licensed in California (139927) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144592205
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKHASHAYAR KHOSRAVIANICredential: MD
Location Address401 BICENTENNIAL WAY, DEPT OF RHEUMATOLOGY SUITE 160Santa Rosa, CA 95403-2149
Mailing Address401 Bicentennial Way, Dept Of Rheumatology Suite 160Santa Rosa, CA 95403-2149 · (707) 393-4155
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 6, 2012
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPI 1144592205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · 139927
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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

Khashayar Khosraviani 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.

PECOS PAC ID8921386186
PECOS Enrollment IDI20161024001492
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

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 Khashayar Khosraviani's NPI number?

The NPI number for Khashayar Khosraviani is 1144592205. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Khashayar Khosraviani located?

Khashayar Khosraviani practices at 401 Bicentennial Way Dept Of Rheumatology Suite 160, Santa Rosa, CA 95403. The listed phone number is (707) 393-4155.

What is Khashayar Khosraviani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Khashayar Khosraviani enrolled in Medicare?

Yes. Khashayar Khosraviani 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 Khashayar Khosraviani was last updated on December 17, 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.