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AMANDA KHOSRAVI M.D.
NPI 1386058014
Family Medicine in Irvine, CA

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
4900 BARRANCA PKWY STE 103, IRVINE, CA 92604(949) 791-3103 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2024, Jul 12, 2017, Jun 5, 2017 (3 updates tracked since 2017).

About Amanda Khosravi M.d. NPPES

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

AMANDA KHOSRAVI M.D. (NPI 1386058014) is an individual family medicine provider in Irvine, California, licensed in California (A145016) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386058014
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA KHOSRAVICredential: M.D.
Location Address4900 BARRANCA PKWY STE 103Irvine, CA 92604-8603
Mailing Address4900 Barranca Pkwy Ste 103Irvine, CA 92604-8603 · (949) 791-3103 · Fax (949) 791-3106
Phone(949) 791-3103
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 20, 2014
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1386058014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A145016
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4900 BARRANCA PKWY STE 103, Irvine, CA 92604
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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

Amanda 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 ID547532004
PECOS Enrollment IDI20170817002048
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.

Areas of Expertise CMS Part B claims 5

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 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.
87 services52 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.
34 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 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.
12 services12 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92604 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
$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

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

HIEN T NGHIEM MD
Family Medicine
4900 BARRANCA PKWY STE 103
IRVINE, CA 92604
Orange County (949) 791-3103

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 Amanda Khosravi's NPI number?

The NPI number for Amanda Khosravi is 1386058014. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Amanda Khosravi located?

Amanda Khosravi practices at 4900 Barranca Pkwy Ste 103, Irvine, CA 92604. The listed phone number is (949) 791-3103.

What is Amanda Khosravi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amanda Khosravi enrolled in Medicare?

Yes. Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Khosravi was last updated on November 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.