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

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: October 18, 2026.

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

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Khulkar Mirzozoda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Associates In Healthcare, Inc
0.8 mi
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
NPI 1508516451 (215) 587-3406
Excela Health Physician Practices, Inc.
217 mi
Family Medicine
56 CLUB LN STE 203
Blairsville, PA 15717
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1598220295 (724) 459-7338

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

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
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
JUSTIN AOYAMA MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SANJNA SHELUKAR MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SHREYA DHUPAM MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
ELLA ROSE FEINER
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
DR. EDWIN PEREZ MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
ANDRE CUNNINGHAM DO
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
PAUL JOSEPH ENDRES MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465

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 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.

Where is Khulkar Mirzozoda located?

Khulkar Mirzozoda practices at 833 Chestnut St Ste 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is Khulkar Mirzozoda's specialty?

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

Is Khulkar Mirzozoda enrolled in Medicare?

Yes. Khulkar Mirzozoda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khulkar Mirzozoda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khulkar Mirzozoda reassigns Medicare benefits to 2 organizations: Methodist Associates In Healthcare, Inc (Philadelphia, PA) and Excela Health Physician Practices, Inc. (Blairsville, PA). Each 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 Khulkar Mirzozoda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khulkar Mirzozoda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Khulkar Mirzozoda 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.

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 2 months 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.