KAMOLIDDIN KHODJAEV
NPI 1255944732
Nurse Anesthetist, Certified Registered in Allentown, PA
About Kamoliddin Khodjaev NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAMOLIDDIN KHODJAEV (NPI 1255944732) is an individual nurse anesthetist, certified registered in Allentown, Pennsylvania, licensed in Arizona (267930) and active in the NPI registry since August 2020. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kamoliddin Khodjaev is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Kamoliddin Khodjaev reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 256 clinicians in this Medicare group
Bethlehem, PA 18020
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Professional Anesthesia Services Of North America PC
- 177 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Arizona enrollment
- 370 clinicians in this Medicare group
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Show Low, AZ 85901
- Reassigned Medicare billing, Arizona enrollment
- 212 clinicians in this Medicare group
Safford, AZ 85546
- Reassigned Medicare billing, Arizona enrollment
- 224 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 298 clinicians in this Medicare group
Scottsdale, AZ 85260
- Reassigned Medicare billing, Arizona enrollment
- 77 clinicians in this Medicare group
Phoenix, AZ 85024
- Reassigned Medicare billing, Arizona enrollment
- 518 clinicians in this Medicare group
Phoenix, AZ 85020
- Reassigned Medicare billing, Arizona enrollment
- 174 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
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 Kamoliddin Khodjaev's NPI number?
The NPI number for Kamoliddin Khodjaev is 1255944732. It was assigned to this individual provider in the NPPES registry on August 25, 2020.
Where is Kamoliddin Khodjaev located?
Kamoliddin Khodjaev practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-8000.
What is Kamoliddin Khodjaev's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kamoliddin Khodjaev enrolled in Medicare?
Yes. Kamoliddin Khodjaev is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kamoliddin Khodjaev's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kamoliddin Khodjaev reassigns Medicare benefits to 12 organizations: Lehigh Valley Anesthesia Services, P. C. (Allentown, PA), Professional Anesthesia Services Of North America P.C. (Bethlehem, PA), Anesthesia Partners & Management LLC (Brighton, MI), The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Southwestern Eye Center (Show Low, AZ) and 7 more organizations, listed in the Medicare section above. Each 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 Kamoliddin Khodjaev's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kamoliddin Khodjaev accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Kamoliddin Khodjaev 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 Kamoliddin Khodjaev was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kamoliddin Khodjaev · NPI 1255944732
Nurse Anesthetist, Certified Registered physician in Allentown, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1255944732 (Entity type: Individual)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 267930 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S CEDAR CREST BLVD, Allentown, PA 18103-6202
- **Phone:** (610) 402-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Anesthesia Services, P. C. (NPI 1730174731, Allentown, PA); Professional Anesthesia Services Of North America P.C. (NPI 1972994820, Bethlehem, PA); Anesthesia Partners & Management LLC (NPI 1336530997, Brighton, MI); The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Southwestern Eye Center (NPI 1104866904, Show Low, AZ); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255944732) · Data from the CMS NPPES public registry.