MR. EZAM GHODSI MD
NPI 1275599284
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Austin, TX

Q: What is Ezam Ghodsi's NPI number?

The NPI number for Ezam Ghodsi is 1275599284. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Ezam Ghodsi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Ezam Ghodsi was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 26, 2006PECOS EnrolledAccepts Medicare Assignment

5301 DAVIS LN BLDG A200, AUSTIN, TX 78749(512) 494-4000(512) 494-4090 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2021, Jun 18, 2020, Jul 12, 2017 (3 updates tracked since 2017).

On this page

About Mr. Ezam Ghodsi Md NPPES

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

MR. EZAM GHODSI MD (NPI 1275599284) is an individual neurology with special qualifications in child neurology provider in Austin, Texas, licensed in Texas (H7420) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1275599284

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameMR. EZAM GHODSICredential: MD

Location Address5301 DAVIS LN BLDG A200Austin, TX 78749-4062

Mailing Address7940 Shoal Creek Blvd Ste 100Austin, TX 78757-7589 · (512) 494-4000 · Fax (512) 494-4090

Phone(512) 494-4000

Fax(512) 494-4090

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateApril 26, 2006

Last NPPES UpdateJune 10, 20213 updates tracked since enumeration

NPPES CertifiedJune 10, 2021

✔ NPI 1275599284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in TX · H7420

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License H7420 (TX)

5301 DAVIS LN BLDG A200, Austin, TX 78749

Open in Google Maps ↗

Secondary Practice Location 1

Location 17940 Shoal Creek Blvd Ste 100Austin, TX 78757-7589 · Phone (512) 494-4000 · Fax (512) 494-4090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and more.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

Mr. Ezam Ghodsi Md 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 ID7911964507

PECOS Enrollment IDI20041215000539

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 78749 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

2%305 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%470 patients1/55-star benchmark: 61%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. SHELLY MICHAEL REARDON MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

5301 DAVIS LN BLDG A200
AUSTIN, TX 78749

Travis County (512) 494-4000

DAWN K MCELVAIN RN, CPNP

Nurse Practitioner (Pediatrics)

5301 DAVIS LN BLDG A200
AUSTIN, TX 78749

Travis County (512) 494-4000

DR. KATHERINE STACY LABINER MD

Psychiatry & Neurology (Epilepsy)

5301 DAVIS LN BLDG A200
AUSTIN, TX 78749

Travis County (512) 494-4000

DR. DANIEL GUSTKEY DO

Psychiatry & Neurology (Epilepsy)

5301 DAVIS LN BLDG A200
AUSTIN, TX 78749

Travis County (512) 494-4000

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 Ezam Ghodsi's NPI number?

The NPI number for Ezam Ghodsi is 1275599284. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Ezam Ghodsi located?

Ezam Ghodsi practices at 5301 Davis Ln Bldg A200, Austin, TX 78749. The listed phone number is (512) 494-4000.

What is Ezam Ghodsi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Ezam Ghodsi enrolled in Medicare?

Yes. Ezam Ghodsi 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.

What insurance does Ezam Ghodsi accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and WellPoint list Ezam Ghodsi 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 Ezam Ghodsi was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.