DR. MAEDEH KHAYYAT KHOLGHI DO
NPI 1376049528
Internal Medicine - Cardiovascular Disease in Glendale, AZ

Q: What is Maedeh Khayyat Kholghi's NPI number?

The NPI number for Maedeh Khayyat Kholghi is 1376049528. It was assigned to this individual provider in the NPPES registry on April 4, 2018. The provider is also known as Dr. Maedeh Kholghi Do.

Q: What is Maedeh Khayyat Kholghi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment

18700 N 64TH DR STE 301, GLENDALE, AZ 85308(602) 841-0741 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Apr 15, 2021 (2 updates tracked since 2021).

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About Dr. Maedeh Khayyat Kholghi Do NPPES

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

DR. MAEDEH KHAYYAT KHOLGHI DO (NPI 1376049528) is an individual cardiovascular disease provider in Glendale, Arizona, licensed in Arizona (011221) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2018).

NPPES Registry Identity

NPI1376049528

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MAEDEH KHAYYAT KHOLGHICredential: DO

Location Address18700 N 64TH DR STE 301Glendale, AZ 85308-7114

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211

Phone(602) 841-0741

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2018

Enumeration DateApril 4, 2018

Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1376049528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in AZ · 011221

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

18700 N 64TH DR STE 301, Glendale, AZ 85308

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Other Names 1

Other Name (5)Dr. Maedeh Kholghi Do

Secondary Practice Locations 2

Location 11 University Of New MexicoAlbuquerque, NM 87131-3098 · Phone (480) 570-1028

Location 23181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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

Dr. Maedeh Khayyat Kholghi Do 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 ID5799036083

PECOS Enrollment IDI20240920002283

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 85308 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 8

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

TIM MICHAEL RATLIFF DO

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