DR. KHODAM ROSTOMIAN MD
NPI 1295806263
Ophthalmology in Panorama City, CA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Khodam Rostomian Md NPPES

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

DR. KHODAM ROSTOMIAN MD (NPI 1295806263) is an individual ophthalmology provider in Panorama City, California, licensed in California (G77123) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1992).

NPPES Registry Identity

NPI1295806263
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KHODAM ROSTOMIANCredential: MD
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2000
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1992
Enumeration DateNovember 13, 2006
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1295806263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G77123
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
13652 CANTARA ST, Panorama City, CA 91402

Other Names 1

Former Name (1)Dr. Khodam Rostami Md

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

Dr. Khodam Rostomian 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 ID7719175611
PECOS Enrollment IDI20101220000251
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 91402 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Khodam Rostomian's NPI number?

The NPI number for Khodam Rostomian is 1295806263. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Dr. Khodam Rostami MD.

Where is Khodam Rostomian located?

Khodam Rostomian practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Khodam Rostomian's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Khodam Rostomian enrolled in Medicare?

Yes. Khodam Rostomian 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.

When was this NPI record last updated?

The NPPES record for Khodam Rostomian was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.