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DR. MEGHEDY SHANAZARIAN KHODAK MD
NPI 1215462122
Pediatrics in Rochester, NY

Active since April 28, 2017PECOS Enrolled
809 EAST RIDGE ROAD, ROCHESTER, NY 14621(585) 266-0310(585) 266-9207 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2020, Jul 27, 2020, Apr 28, 2017 (3 updates tracked since 2017).

About Dr. Meghedy Shanazarian Khodak Md NPPES

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

DR. MEGHEDY SHANAZARIAN KHODAK MD (NPI 1215462122) is an individual pediatrics provider in Rochester, New York, licensed in New York (305460) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215462122
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MEGHEDY SHANAZARIAN KHODAKCredential: MD
Location Address809 EAST RIDGE ROADRochester, NY 14621
Mailing Address809 East Ridge RoadRochester, NY 14621 · (585) 266-0310 · Fax (585) 266-9207
Phone(585) 266-0310
Fax(585) 266-9207
Sole ProprietorYes
Enumeration DateApril 28, 2017
Last NPPES UpdateAugust 13, 20203 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1215462122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 305460
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
809 EAST RIDGE ROAD, Rochester, NY 14621
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Meghedy Shanazarian M.d

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Meghedy Shanazarian Khodak Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Meghedy Khodak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rochester General Hospital
0.6 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

IRONDEQUOIT PEDIATRICS, PLLC
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310
DR. AMANDA SOGN KNAPP M.D.
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 225-2525
DR. KRISTEN S SAVAGE MD
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310
DR. DOUGLAS BENNETT M.D.
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310

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 Meghedy Khodak's NPI number?

The NPI number for Meghedy Khodak is 1215462122. It was assigned to this individual provider in the NPPES registry on April 28, 2017. The provider is also known as Dr. Meghedy Shanazarian M.D.

Where is Meghedy Khodak located?

Meghedy Khodak practices at 809 East Ridge Road, Rochester, NY 14621. The listed phone number is (585) 266-0310.

What is Meghedy Khodak's specialty?

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

Is Meghedy Khodak enrolled in Medicare?

Yes. Meghedy Khodak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Meghedy Khodak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meghedy Khodak reassigns Medicare benefits to Rochester General Hospital (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Meghedy Khodak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Meghedy Khodak was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.