KHALED DOSTZADA DO, MS
NPI 1528696655
Radiology - Diagnostic Radiology in Little Rock, AR

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205(501) 603-1595 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2025, Apr 1, 2020 (2 updates tracked since 2020).

About Khaled Dostzada Do, Ms NPPES

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

KHALED DOSTZADA DO, MS (NPI 1528696655) is an individual diagnostic radiology provider in Little Rock, Arkansas, licensed in California (20A23893) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528696655
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKHALED DOSTZADACredential: DO, MS
Location Address4301 W MARKHAM ST # 556Little Rock, AR 72205-7101
Mailing Address17576 Edgewood LnYorba Linda, CA 92886-1950 · (714) 403-2581
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1528696655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · 20A23893
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4301 W MARKHAM ST # 556, Little Rock, AR 72205

Secondary Practice Location 1

Location 11 Childrens Way # 556Little Rock, AR 72202-3500 · Phone (501) 603-1595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khaled Dostzada Do, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466874110
PECOS Enrollment IDI20251009001444
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

3

Medicare enrollment records show Khaled Dostzada reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3751 KATELLA AVE
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
Radiology
590 S FAIR OAKS AVE STE 143
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 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 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 20

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

Internal Medicine (Medical Oncology)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Internal Medicine (Infectious Disease)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Physician Assistant
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205

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 Khaled Dostzada's NPI number?

The NPI number for Khaled Dostzada is 1528696655. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Khaled Dostzada located?

Khaled Dostzada practices at 4301 W Markham St # 556, Little Rock, AR 72205. The listed phone number is (501) 603-1595.

What is Khaled Dostzada's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Khaled Dostzada enrolled in Medicare?

Yes. Khaled Dostzada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Khaled Dostzada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khaled Dostzada reassigns Medicare benefits to 3 organizations: Los Alamitos Radiology Group Inc (Los Alamitos, CA), Keck Medicine Of Usc Imaging Centers, LLC (Pasadena, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). 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 Khaled Dostzada'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 Khaled Dostzada was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.