DR. HASAN KHOSRAVI MD
NPI 1649790627
Dermatology in Peachtree Corners, GA
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 Peachtree Corners, Georgia, licensed in Georgia (101902) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Hasan Khosravi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peachtree Corners, GA 30092
- Reassigned Medicare billing, Georgia enrollment
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 30092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 6460 Spalding Dr Ste A, Peachtree Corners, GA 30092. The listed phone number is (678) 890-8035.
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.
Which organization bills Medicare for Hasan Khosravi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hasan Khosravi reassigns Medicare benefits to Axis Dermatology LLC (Peachtree Corners, GA). The 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 Hasan Khosravi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and 1 other insurer 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 September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.
# Dr. Hasan Khosravi, MD · NPI 1649790627
Dermatology physician in Peachtree Corners, Georgia. Individual provider, active in the CMS NPPES registry since June 21, 2017.
## Identity
- **NPI:** 1649790627 (Entity type: Individual)
- **Enumerated:** June 21, 2017
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 101902 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6460 SPALDING DR STE A, Peachtree Corners, GA 30092-1805
- **Phone:** (678) 890-8035 · **Fax:** (678) 487-5311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Axis Dermatology LLC (NPI 1194658427, Peachtree Corners, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2017
## Record status
- **NPPES last updated:** September 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1649790627) · Data from the CMS NPPES public registry.