KOUROSH SEAN KHATAMI M.D.
NPI 1194251587
Pediatrics in Phoenix, AZ

Q: What is Kourosh Khatami's NPI number?

The NPI number for Kourosh Khatami is 1194251587. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Kourosh Khatami's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kourosh Khatami was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2017PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(469) 226-1928 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2020, Jun 22, 2020 (2 updates tracked since 2020).

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About Kourosh Sean Khatami M.d. NPPES

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

KOUROSH SEAN KHATAMI M.D. (NPI 1194251587) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (60337) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194251587

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKOUROSH SEAN KHATAMICredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (029) 331-8146

Phone(469) 226-1928

Sole ProprietorNo

Enumeration DateMay 4, 2017

Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration

NPPES CertifiedDecember 9, 2020

✔ NPI 1194251587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 60337

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1919 E THOMAS RD, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourosh Sean Khatami M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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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.

DR. TIMUR RAGHIB M.D.

Hospitalist