KAMOLIDDIN KHODJAEV
NPI 1255944732
Nurse Anesthetist, Certified Registered in Allentown, PA

Active since August 25, 2020Accepts Medicare Assignment
78.31/100
CMS Quality Rating
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-8000 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2021, Jan 11, 2021, Aug 25, 2020 (3 updates tracked since 2020).

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

NPI1255944732
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKAMOLIDDIN KHODJAEV
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address2630 Elm Hill Pike Ste 350Nashville, TN 37214-3176 · (615) 327-4304 · Fax (615) 327-7940
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 25, 2020
Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1255944732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in AZ · 267930 Licensed in PA · RN730555
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1200 S CEDAR CREST BLVD, Allentown, PA 18103

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5991124794
PECOS Enrollment IDI20220722001079, I20220915000393

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
20 services20 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
14 services14 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

78.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.49
Improvement Activities40

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.

Anesthesiology
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Specialist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Specialist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Specialist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Specialist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Specialist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Dietitian, Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255944732, enumerated as an "individual" on August 25, 2020.

The provider is located at 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 and the phone number is (610) 402-8000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Imperial. Please consult your insurance carrier or call the provider to verify.