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DR. HASAN KHOSRAVI MD
NPI 1649790627
Dermatology in Marietta, GA

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
1519 JOHNSON FERRY RD STE 175, MARIETTA, GA 30062(770) 814-8222(678) 205-5111 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Sep 26, 2024, Jun 29, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Hasan Khosravi Md NPPES

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

DR. HASAN KHOSRAVI MD (NPI 1649790627) is an individual dermatology provider in Marietta, Georgia, licensed in Georgia (101902) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Harvard Medical School (2017).

NPPES Registry Identity

NPI1649790627
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. HASAN KHOSRAVICredential: MD
Location Address1519 JOHNSON FERRY RD STE 175Marietta, GA 30062-6411
Mailing AddressPo Box 23329New York, NY 10087-3329
Phone(770) 814-8222
Fax(678) 205-5111
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateJune 8, 20265 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1649790627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in GA · 101902✔ Licensed in IL · 036.155306
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1519 JOHNSON FERRY RD STE 175, Marietta, GA 30062
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Secondary Practice Locations 5

Location 11230 Bald Ridge Marina Rd Ste 300Cumming, GA 30041-7859 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 23331 Hamilton Mill Rd Ste 1106Buford, GA 30519-7226 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 33850 Pleasant Hill RdDuluth, GA 30096-4807 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 43370 Paddocks PkwySuwanee, GA 30024-9119 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 5808 S Wood St Ste 380Chicago, IL 60612-7300 · Phone (312) 413-7448

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Hasan Khosravi 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 ID9335411370
PECOS Enrollment IDI20241012000349
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Hasan Khosravi's NPI number?

The NPI number for Hasan Khosravi is 1649790627. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Hasan Khosravi located?

Hasan Khosravi practices at 1519 Johnson Ferry Rd Ste 175, Marietta, GA 30062. The listed phone number is (770) 814-8222.

What is Hasan Khosravi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Hasan Khosravi enrolled in Medicare?

Yes. Hasan Khosravi 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.

What insurance does Hasan Khosravi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hasan Khosravi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hasan Khosravi was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.