DR. KHODAIDAD H BASHARMAL M.D.
NPI 1609855279
Internal Medicine in Sterling, VA

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
62.13/100
CMS Quality Rating
47100 COMMUNITY PLZ, SUITE 100, STERLING, VA 20164(804) 968-5700(804) 217-7991 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2021, Mar 28, 2018, Feb 9, 2017 (3 updates tracked since 2017).

About Dr. Khodaidad H Basharmal M.d. NPPES

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

DR. KHODAIDAD H BASHARMAL M.D. (NPI 1609855279) is an individual internal medicine provider in Sterling, Virginia, licensed in Virginia (0101231457) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1609855279
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KHODAIDAD H BASHARMALCredential: M.D.
Location Address47100 COMMUNITY PLZ, SUITE 100Sterling, VA 20164-1826
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700 · Fax (804) 217-7991
Fax(804) 217-7991
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateJanuary 12, 2006
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
NPI 1609855279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101231457
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
47100 COMMUNITY PLZ, Sterling, VA 20164

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. Khodaidad H Basharmal 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 ID8921280231
PECOS Enrollment IDI20110308000653
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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
201 services173 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services105 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
107 services101 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
81 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
70 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20164 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Urgent Care)
47100 COMMUNITY PLZ
STERLING, VA 20164
Physician Assistant (Medical)
47100 COMMUNITY PLZ
STERLING, VA 20164
Family Medicine
47100 COMMUNITY PLZ, SUITE 100
STERLING, VA 20164
Physician Assistant
47100 COMMUNITY PLZ
STERLING, VA 20164
Family Medicine
47100 COMMUNITY PLZ
STERLING, VA 20164
Dentist (General Practice)
47100 COMMUNITY PLZ, SUITE 165
STERLING, VA 20164
Physician Assistant (Medical)
47100 COMMUNITY PLZ
STERLING, VA 20164
Non-Pharmacy Dispensing Site
47100 COMMUNITY PLZ
STERLING, VA 20164

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 Khodaidad Basharmal's NPI number?

The NPI number for Khodaidad Basharmal is 1609855279. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Khodaidad Basharmal located?

Khodaidad Basharmal practices at 47100 Community Plz Suite 100, Sterling, VA 20164. The listed phone number is (804) 968-5700.

What is Khodaidad Basharmal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khodaidad Basharmal enrolled in Medicare?

Yes. Khodaidad Basharmal 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.

When was this NPI record last updated?

The NPPES record for Khodaidad Basharmal was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.