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DR. ROKHSAREH KHATAMI
NPI 1467823351
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since October 17, 2015PECOS Enrolled
STONY BROOK HOSPITAL, STONY BROOK, NY 11794(631) 444-7631 Get Directions Write a Review

NPPES record last updated: October 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rokhsareh Khatami NPPES

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

DR. ROKHSAREH KHATAMI (NPI 1467823351) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1467823351
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ROKHSAREH KHATAMI
Location AddressSTONY BROOK HOSPITALStony Brook, NY 11794-2302
Mailing AddressStony Brook HospitalStony Brook, NY 11794-2302
Phone(631) 444-7631
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 17, 2015
✔ NPI 1467823351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
STONY BROOK HOSPITAL, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rokhsareh Khatami is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779901715
PECOS Enrollment IDI20211202002159
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 Reassignment

Medicare enrollment records show Rokhsareh Khatami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
40 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

DR. VINAY MANOHAR TAK MD, FRCS(ED), FACS
Thoracic Surgery (Cardiothoracic Vascular Surgery)
STONY BROOK HOSPITAL, 100 NICHOLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-2034
MS. ANNIE ROHAN PHD, RNC, NNP/PNP-BC
Nurse Practitioner (Neonatal, Critical Care)
STONY BROOK HOSPITAL, NICU/LEVEL 5
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
DR. ANGELA AMALIA KOKKOSIS MD
Surgery (Vascular Surgery)
STONY BROOK HOSPITAL, HSC T19-090
STONY BROOK, NY 11794
Suffolk County (631) 444-8013

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 Rokhsareh Khatami's NPI number?

The NPI number for Rokhsareh Khatami is 1467823351. It was assigned to this individual provider in the NPPES registry on October 17, 2015.

Where is Rokhsareh Khatami located?

Rokhsareh Khatami practices at Stony Brook Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-7631.

What is Rokhsareh Khatami's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rokhsareh Khatami enrolled in Medicare?

Yes. Rokhsareh Khatami is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rokhsareh Khatami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rokhsareh Khatami reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Rokhsareh Khatami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rokhsareh Khatami affiliated with any hospitals?

According to CMS data, Rokhsareh Khatami is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Rokhsareh Khatami was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.