DR. KEYOUMARS IZADI MD, DDS
NPI 1184732216
Dentist 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: June 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 dentist in Fredericksburg, Virginia, licensed in Virginia (0401412094) 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 Taxonomy122300000X
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
Fax(540) 371-5621
Sole ProprietorYes
Enumeration DateAugust 28, 2006
Last NPPES UpdateJune 30, 2009
NPI 1184732216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401412094
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22405 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

Dentist
409 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405
Dentist (Oral and Maxillofacial Surgery)
409 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405

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 Dentist with taxonomy code 122300000X.

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 June 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.