GREGG ILAN KHODOROV MD, MBA
NPI 1518586536
Radiology - Vascular & Interventional Radiology in Voorhees, NJ

Q: What is Gregg Khodorov's NPI number?

The NPI number for Gregg Khodorov is 1518586536. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Q: What is Gregg Khodorov's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Gregg Khodorov was last updated on July 17, 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.

Active since April 09, 2020PECOS Enrolled

136 ROUTE 73 STE A, VOORHEES, NJ 08043(877) 388-2778 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 17, 2026, Apr 9, 2020 (2 updates tracked since 2020).

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About Gregg Ilan Khodorov Md, Mba NPPES

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

GREGG ILAN KHODOROV MD, MBA (NPI 1518586536) is an individual vascular & interventional radiology provider in Voorhees, New Jersey, licensed in New Jersey (25MA13037300) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518586536

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameGREGG ILAN KHODOROVCredential: MD, MBA

Location Address136 ROUTE 73 STE AVoorhees, NJ 08043-9598

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104

Phone(877) 388-2778

Sole ProprietorNo

Enumeration DateApril 9, 2020

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1518586536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in NJ · 25MA13037300

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

136 ROUTE 73 STE A, Voorhees, NJ 08043

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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 (PECOS)

Gregg Ilan Khodorov 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 08043 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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 11

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

DR. BRIJESH PATEL MD

Urology