1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Psychiatry Neurology
  6. NPI Profile

PAULINA KHODAK DO
NPI 1407416290
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment
33 S 9TH ST, PHILADELPHIA, PA 19107(215) 456-9850 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Jun 14, 2019 (2 updates tracked since 2019).

About Paulina Khodak Do NPPES

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

PAULINA KHODAK DO (NPI 1407416290) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS022575) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1407416290
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePAULINA KHODAKCredential: DO
Location Address33 S 9TH STPhiladelphia, PA 19107-4414
Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018
Phone(215) 456-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 14, 2019
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1407416290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · OS022575
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
33 S 9TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-9015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Paulina Khodak 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 ID8527429711
PECOS Enrollment IDI20230803004317
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 2

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 12

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

LAUREN LATOURETTE LCSW
Social Worker (Clinical)
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (267) 239-6421
EMMETT ROSE GORMLEY LCSW
Social Worker (Clinical)
33 S 9TH ST, SUITE 210
PHILADELPHIA, PA 19107
Philadelphia County (484) 416-6122
RACHEL FULTON MD
Dermatology
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (484) 476-2000
JEFFERSON UNIVERSITY PHYSICIANS
Family Medicine (Geriatric Medicine)
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8516
JEREMY SILVER
Student in an Organized Health Care Education/Training Program
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (800) 321-9999
JEFFERSON UNIVERSITY PHYSICIANS
Family Medicine
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6664
ELIZABETH DIGIAMBATTISTA CRNP
Internal Medicine (Cardiovascular Disease)
33 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (717) 919-5014
YOGESH VERMA M.D.
Student in an Organized Health Care Education/Training Program
33 S 9TH ST, SUITE 700
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6550

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 Paulina Khodak's NPI number?

The NPI number for Paulina Khodak is 1407416290. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Paulina Khodak located?

Paulina Khodak practices at 33 S 9th St, Philadelphia, PA 19107. The listed phone number is (215) 456-9850.

What is Paulina Khodak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paulina Khodak enrolled in Medicare?

Yes. Paulina Khodak 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.

What insurance does Paulina Khodak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paulina Khodak 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.

Is Paulina Khodak affiliated with any hospitals?

According to CMS data, Paulina Khodak is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Paulina Khodak was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.