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

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 25, 2026.

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

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
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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Family Medicine
2301 S BROAD ST
Philadelphia, PA 19148
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group

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 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.

Urology
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Physician Assistant (Surgical)
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Nurse Practitioner (Adult Health)
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Urology
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043

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 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.

Where is Gregg Khodorov located?

Gregg Khodorov practices at 136 Route 73 Ste A, Voorhees, NJ 08043. The listed phone number is (877) 388-2778.

What is Gregg Khodorov's specialty?

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

Is Gregg Khodorov enrolled in Medicare?

Yes. Gregg Khodorov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregg Khodorov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregg Khodorov reassigns Medicare benefits to 2 organizations: Methodist Associates In Healthcare, Inc. (Philadelphia, PA) and Summit Medical Group PA (Berkeley Heights, NJ). 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 Gregg Khodorov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.