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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEYOUMARS IZADI MD, DDS
NPI 1184732216
General Practice in Fredericksburg, VA

Active since August 28, 2006Opted out of Medicare · through Dec 7, 2026
409 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405(540) 371-4131(540) 371-5621 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Keyoumars Izadi Md, Dds NPPES

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

DR. KEYOUMARS IZADI MD, DDS (NPI 1184732216) is an individual general practice provider in Fredericksburg, Virginia, licensed in Virginia (0101243951) and active in the NPI registry since August 2006. He has opted out of Medicare through December 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184732216
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KEYOUMARS IZADICredential: MD, DDS
Location Address409 CHATHAM SQUARE OFFICE PARKFredericksburg, VA 22405-2561
Mailing Address409 Chatham Square Office ParkFredericksburg, VA 22405-2561 · (540) 371-4131 · Fax (540) 371-5621
Phone(540) 371-4131
Fax(540) 371-5621
Sole ProprietorYes
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1184732216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101243951
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedDentistTaxonomy 122300000X · License 0401412094 (VA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0438000243 (VA)
Also ListedPlastic SurgeryTaxonomy 208200000X · License 0101243951 (VA)
409 CHATHAM SQUARE OFFICE PARK, Fredericksburg, VA 22405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Keyoumars Izadi Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 7, 2012 through December 7, 2026.

Opt-Out Effective DateDecember 7, 2012
Opt-Out In Effect ThroughDecember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

DR. KERI ANN IZADI DMD
Dentist (Dentist Anesthesiologist)
409 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405
Stafford County (540) 645-9296
JACQUES ELI RIVIERE DDS
Dentist (Oral and Maxillofacial Surgery)
409 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405
Stafford County (540) 371-4131

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 Keyoumars Izadi's NPI number?

The NPI number for Keyoumars Izadi is 1184732216. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Keyoumars Izadi located?

Keyoumars Izadi practices at 409 Chatham Square Office Park, Fredericksburg, VA 22405. The listed phone number is (540) 371-4131.

What is Keyoumars Izadi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Keyoumars Izadi enrolled in Medicare?

No. Keyoumars Izadi has opted out of Medicare through December 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Keyoumars Izadi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keyoumars Izadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keyoumars Izadi was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.