MRS. LIDA MOHAMMADKHAH ANP
NPI 1205137569
Nurse Practitioner - Primary Care in Nashville, TN

Q: What is Lida Mohammadkhah's NPI number?

The NPI number for Lida Mohammadkhah is 1205137569. It was assigned to this individual provider in the NPPES registry on November 3, 2010.

Q: What is Lida Mohammadkhah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Lida Mohammadkhah was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 03, 2010PECOS Enrolled

530 GREAT CIRCLE RD, NASHVILLE, TN 37228(312) 262-2739(312) 564-4059 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2016, Sep 20, 2016 (2 updates tracked since 2016).

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About Mrs. Lida Mohammadkhah Anp NPPES

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

MRS. LIDA MOHAMMADKHAH ANP (NPI 1205137569) is an individual primary care provider in Nashville, Tennessee, licensed in Tennessee (15233) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205137569

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. LIDA MOHAMMADKHAHCredential: ANP

Location Address530 GREAT CIRCLE RDNashville, TN 37228-1309

Mailing Address9217 Sydney LnBrentwood, TN 37027-8153 · (615) 969-7278

Phone(312) 262-2739

Fax(312) 564-4059

Sole ProprietorNo

Enumeration DateNovember 3, 2010

Last NPPES UpdateOctober 10, 20162 updates tracked since enumeration

✔ NPI 1205137569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TN · 15233

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 94637 (TN)

530 GREAT CIRCLE RD, Nashville, TN 37228

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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 (PECOS)

Mrs. Lida Mohammadkhah Anp 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 37228 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 13

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

JOSEPH OZENNE M.D.

Internal Medicine