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DR. ABTIN HAJILOO KHOSRAVI M.D.
NPI 1356583033
Surgery in Orange, CA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
1010 W LA VETA AVE STE 775, ORANGE, CA 92868(714) 541-4996(714) 835-9550 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2020, Aug 10, 2017, Aug 3, 2017 and 2 more (5 updates tracked since 2015).

About Dr. Abtin Hajiloo Khosravi M.d. NPPES

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

DR. ABTIN HAJILOO KHOSRAVI M.D. (NPI 1356583033) is an individual surgery provider in Orange, California, licensed in California (A142491) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hermiston, and is a graduate of Johns Hopkins University School Of Medicine (2009).

NPPES Registry Identity

NPI1356583033
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ABTIN HAJILOO KHOSRAVICredential: M.D.
Location Address1010 W LA VETA AVE STE 775Orange, CA 92868-4306
Mailing AddressPo Box 5871Orange, CA 92863-5871 · (714) 571-5000 · Fax (714) 571-5055
Phone(714) 541-4996
Fax(714) 835-9550
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateJune 10, 20265 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1356583033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · A142491✔ Licensed in OR · MD228028✔ Licensed in MD · 2481
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1010 W LA VETA AVE STE 775, Orange, CA 92868
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Secondary Practice Location 1

Location 1620 NW 11th St Ste M206Hermiston, OR 97838-6941 · Phone (541) 667-3804 · Fax (541) 667-0192

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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

Dr. Abtin Hajiloo Khosravi M.d. 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 ID5799917936
PECOS Enrollment IDI20171002000914
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Abtin Khosravi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orange Surgical Associates
Same address
Surgery
1010 W LA VETA AVE STE 470
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1902630841 (714) 541-5959
Orange County Robotic General Surgery Inc
Same address
Surgery
1010 W LA VETA AVE STE 775
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
NPI 1144745803 (714) 541-4996
Good Shepherd Health Care System
836 mi
Pediatrics
600 NW 11TH ST STE E33
Hermiston, OR 97838
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1295789667 (Oregon)
  • 344 clinicians in this Medicare group
NPI 1336198159 (541) 667-3740

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 9

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 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.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
19 services19 patients
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.
18 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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 3

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

ORANGE COUNTY ROBOTIC GENERAL SURGERY INC
Surgery
1010 W LA VETA AVE STE 775
ORANGE, CA 92868
Orange County (714) 541-4996
DR. SAMI B HAMAMJI M.D.
Surgery
1010 W LA VETA AVE STE 775
ORANGE, CA 92868
Orange County (714) 541-5959
SAMI B HAMAMJI MD INC
Specialist
1010 W LA VETA AVE STE 775
ORANGE, CA 92868
Orange County (714) 541-5959

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 Abtin Khosravi's NPI number?

The NPI number for Abtin Khosravi is 1356583033. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Abtin Khosravi located?

Abtin Khosravi practices at 1010 W La Veta Ave Ste 775, Orange, CA 92868. The listed phone number is (714) 541-4996.

What is Abtin Khosravi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Abtin Khosravi enrolled in Medicare?

Yes. Abtin Khosravi 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 Abtin Khosravi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abtin Khosravi reassigns Medicare benefits to 3 organizations: Orange Surgical Associates (Orange, CA), Orange County Robotic General Surgery Inc (Orange, CA) and Good Shepherd Health Care System (Hermiston, OR). 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 Abtin Khosravi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abtin Khosravi accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Abtin Khosravi 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 Abtin Khosravi was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.