Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KHULKAR MIRZOZODA MD, MBA
NPI 1487144309
Internal Medicine - Interventional Cardiology in Philadelphia, PA

Q: What is Khulkar Mirzozoda's NPI number?

The NPI number for Khulkar Mirzozoda is 1487144309. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Q: What is Khulkar Mirzozoda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Khulkar Mirzozoda was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since May 16, 2018PECOS Enrolled

833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107(215) 955-8465(215) 955-2516 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Aug 4, 2026, May 22, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Khulkar Mirzozoda Md, Mba NPPES

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

DR. KHULKAR MIRZOZODA MD, MBA (NPI 1487144309) is an individual interventional cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD474832) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensburg.

NPPES Registry Identity

NPI1487144309

Entity TypeIndividualFemale

Primary Taxonomy207RI0011X

Provider Legal NameDR. KHULKAR MIRZOZODACredential: MD, MBA

Location Address833 CHESTNUT ST STE 220Philadelphia, PA 19107

Mailing Address44 S Washington AveGreensburg, PA 15601-2768 · (724) 836-1862 · Fax (724) 689-0543

Phone(215) 955-8465

Fax(215) 955-2516

Sole ProprietorNo

Enumeration DateMay 16, 2018

Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1487144309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in PA · MD474832

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

833 CHESTNUT ST STE 220, Philadelphia, PA 19107

Open in Google Maps ↗

Secondary Practice Location 1

Location 144 S Washington AveGreensburg, PA 15601-2768 · Phone (724) 836-1862 · Fax (724) 689-0543

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khulkar Mirzozoda Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

RISA GOLDBERG

Student in an Organized Health Care Education/Training Program