SOIDJON D. KHODJAEV MD
NPI 1629313572
Internal Medicine - Cardiovascular Disease in Rochester, NY

Active since December 04, 2012PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 350, ROCHESTER, NY 14621(585) 442-5320(585) 442-5526 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soidjon D. Khodjaev Md NPPES

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

SOIDJON D. KHODJAEV MD (NPI 1629313572) is an individual cardiovascular disease provider in Rochester, New York, licensed in New York (299886) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1629313572
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSOIDJON D. KHODJAEVCredential: MD
Location Address1415 PORTLAND AVE STE 350Rochester, NY 14621
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 442-5320 · Fax (585) 442-5526
Fax(585) 442-5526
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 4, 2012
Last NPPES UpdateAugust 20, 2019
NPI 1629313572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 299886
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1415 PORTLAND AVE STE 350, Rochester, NY 14621

Secondary Practice Locations 7

Location 130 Hagen DrRochester, NY 14625-2658 · Phone (585) 442-5320 · Fax (585) 442-5526
Location 2200 North StGeneva, NY 14456-1561 · Phone (315) 787-5100 · Fax (315) 787-5108
Location 31150 Routes 5 and 20Geneva, NY 14456 · Phone (315) 789-5758 · Fax (315) 789-0741
Location 438 E South StGeneseo, NY 14454-1354 · Phone (585) 243-5790 · Fax (585) 243-5813
Location 5299 Main StDansville, NY 14437-1135 · Phone (585) 335-9840 · Fax (585) 335-9851
Location 6101 Canal Landing BlvdRochester, NY 14626-5109 · Phone (585) 293-7300 · Fax (585) 227-7723
Location 72365 S Clinton Ave Ste 100Rochester, NY 14618-2663 · Phone (585) 442-5320 · Fax (585) 442-5526

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

Soidjon D. Khodjaev Md 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 ID7719122688
PECOS Enrollment IDI20190905001731
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 5

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.

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.
133 services45 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.
96 services44 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.
87 services56 patients
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.
25 services21 patients
Insertion of tube in right heart chambers for measurement 93451
This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant (Medical)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Clinical Cardiac Electrophysiology)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Acute Care)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Interventional Cardiology)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Gerontology)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621

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 Soidjon Khodjaev's NPI number?

The NPI number for Soidjon Khodjaev is 1629313572. It was assigned to this individual provider in the NPPES registry on December 4, 2012.

Where is Soidjon Khodjaev located?

Soidjon Khodjaev practices at 1415 Portland Ave Ste 350, Rochester, NY 14621. The listed phone number is (585) 442-5320.

What is Soidjon Khodjaev's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Soidjon Khodjaev enrolled in Medicare?

Yes. Soidjon Khodjaev 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 Soidjon Khodjaev affiliated with any hospitals?

According to CMS data, Soidjon Khodjaev is affiliated with Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Soidjon Khodjaev was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.