ROODABEH MICHELLE KOOLAEE DO
NPI 1316250525
Internal Medicine - Rheumatology in Pasadena, CA

Active since July 16, 2010Opted out of Medicare · through Jan 21, 2027
800 FAIRMOUNT AVE STE 210, PASADENA, CA 91105(808) 531-4274(833) 438-1648 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Roodabeh Michelle Koolaee Do NPPES

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

ROODABEH MICHELLE KOOLAEE DO (NPI 1316250525) is an individual rheumatology provider in Pasadena, California, licensed in California (20A12722) and active in the NPI registry since July 2010. She has opted out of Medicare through January 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316250525
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameROODABEH MICHELLE KOOLAEECredential: DO
Location Address800 FAIRMOUNT AVE STE 210Pasadena, CA 91105-3152
Mailing Address833 Parkman DrLa Canada, CA 91011-2547 · (301) 602-0816
Fax(833) 438-1648
Sole ProprietorNo
Enumeration DateJuly 16, 2010
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1316250525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · 20A12722
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS015491 (PA)
800 FAIRMOUNT AVE STE 210, Pasadena, CA 91105

Other Identifiers 3

Other1902846306CA · Group Npi
OtherW18762CA · Group Medicare
OtherGR0100430CA · Group Medi-cal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Roodabeh Michelle Koolaee Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2025 through January 21, 2027.

Opt-Out Effective DateJanuary 21, 2025
Opt-Out In Effect ThroughJanuary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
30 services16 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Obstetrics & Gynecology
800 FAIRMOUNT AVE STE 210
PASADENA, CA 91105
Obstetrics & Gynecology
800 FAIRMOUNT AVE STE 210
PASADENA, CA 91105

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 Roodabeh Koolaee's NPI number?

The NPI number for Roodabeh Koolaee is 1316250525. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Roodabeh Koolaee located?

Roodabeh Koolaee practices at 800 Fairmount Ave Ste 210, Pasadena, CA 91105. The listed phone number is (808) 531-4274.

What is Roodabeh Koolaee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Roodabeh Koolaee enrolled in Medicare?

No. Roodabeh Koolaee has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Roodabeh Koolaee was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.