DR. KHODADAD MODJTABAI M.D.
NPI 1578567913
Specialist in Columbia, MD

Q: What is Khodadad Modjtabai's NPI number?

The NPI number for Khodadad Modjtabai is 1578567913. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Khodadad Modjtabai's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment

10802 HICKORY RIDGE RD, COLUMBIA, MD 21044(301) 997-1336(410) 997-1636 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Khodadad Modjtabai M.d. NPPES

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

DR. KHODADAD MODJTABAI M.D. (NPI 1578567913) is an individual specialist in Columbia, Maryland, licensed in Maryland (DOO61559) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1578567913

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. KHODADAD MODJTABAICredential: M.D.

Location Address10802 HICKORY RIDGE RDColumbia, MD 21044-3622

Mailing Address9784 Old Annapolis RdEllicott City, MD 21042-6327 · (410) 997-1336 · Fax (410) 997-1636

Phone(301) 997-1336

Fax(410) 997-1636

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 13, 2005

Last NPPES UpdateOctober 23, 2012

✔ NPI 1578567913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · DOO61559

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10802 HICKORY RIDGE RD, Columbia, MD 21044

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Other Identifiers 24

Other1013399VA · First Health

Other126480MD · Johns Hopkins

Other410823MD · Americhoice

Other5701MD · Elder Health

Other243508MD · Kaiser

OtherMD0200488MD · Tricare

Medicaid7615905NC

Other3059165MD · Cigna

Medicare UPINI08734MD

Medicare ID-Type Unspecified899M672MMD · Howard County

Other9200455MD · Evercare

Medicaid404889000MD

Other1013399MD · Elder Health

Other243208MD · Americaid

Other5125212MD · Mamsi

Other64167401MD · Blue Cross Of Maryland

Other7305576MD · Aetna Other

Other2426820MD · United Healthcare

OtherN1510002DC · Blue Cross Federal

OtherP00287135MD · Railroad

Other1142253MD · Aetna Hmo

Other243208MD · Amerigroup

Other5125212MD · Alliance

Medicaid036555600DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khodadad Modjtabai M.d. 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 ID244210474

PECOS Enrollment IDI20040720001192, I20041029000729

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dalbavancin, 5 mg J0875

Dalbavancin injection is an antibiotic used to treat severe skin infections caused by certain bacteria. The 5mg dosage is administered by healthcare professionals into a vein, usually once a week. It works by stopping the growth of bacteria.

7,500 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

3,874 services644 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

455 services402 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

428 services108 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

200 services11 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

119 services71 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

118 services85 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

86 services59 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

75 services11 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

42 services40 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

28 services27 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

25 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210004

Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County

Birthing friendly

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210016

Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County

Emergency services Birthing friendly

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD

2/5 CMS rating

OwnershipProprietary

CMS Certification Number210051

Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County

Emergency services

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210065

Location19801 Observation DriveGermantown, MD 20876 · Montgomery County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%1,209 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%738 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

90%94 patients4/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%358 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

91%94 patients5/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

91%357 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 99% · 190 patients

99%190 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

32%358 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%358 patients1/55-star benchmark: 79%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 94 patients

0%94 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

JIE KONG CRNP MSN

Nurse Practitioner (Family)

10802 HICKORY RIDGE RD
COLUMBIA, MD 21044

Howard County (410) 997-1336

MATEEN A. AWAN MD LLC

Internal Medicine

10802 HICKORY RIDGE RD
COLUMBIA, MD 21044

Howard County (410) 992-9355

IMRAN H CHOWDHURY MD

Specialist

10802 HICKORY RIDGE RD, STE 310
COLUMBIA, MD 21044

Howard County (410) 997-1336

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 Khodadad Modjtabai's NPI number?

The NPI number for Khodadad Modjtabai is 1578567913. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Khodadad Modjtabai located?

Khodadad Modjtabai practices at 10802 Hickory Ridge Rd, Columbia, MD 21044. The listed phone number is (301) 997-1336.

What is Khodadad Modjtabai's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Khodadad Modjtabai enrolled in Medicare?

Yes. Khodadad Modjtabai 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.

Is Khodadad Modjtabai affiliated with any hospitals?

According to CMS data, Khodadad Modjtabai is affiliated with University Of MD Capital Region Medical Center, Holy Cross Hospital, Adventist Healthcare White Oak Medical Center, Luminis Health Doctors Community Medical Ctr, Inc and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Khodadad Modjtabai was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.