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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POUYA KHANKHANIAN MD
NPI 1689093668
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104(215) 662-3606(215) 349-5579 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2023, Dec 17, 2021, Jul 8, 2019 and 1 more (4 updates tracked since 2018).

About Pouya Khankhanian Md NPPES

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

POUYA KHANKHANIAN MD (NPI 1689093668) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD465098) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Francisco School Of Medicine (2014).

NPPES Registry Identity

NPI1689093668
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePOUYA KHANKHANIANCredential: MD
Location Address3400 SPRUCE ST, 2 RAVDINPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St, 2 RavdinPhiladelphia, PA 19104-4238 · (215) 662-3606 · Fax (215) 349-5579
Phone(215) 662-3606
Fax(215) 349-5579
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1689093668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD465098✔ Licensed in CA · A169433✔ Licensed in WI · 81266
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 303-8700
Location 21303 E Herndon AveFresno, CA 93720-3309 · Phone (559) 450-3000

Other Identifiers 1

Medicaid100224404WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Pouya Khankhanian 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 ID5395044036
PECOS Enrollment IDI20210430001006
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 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 20

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

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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 Pouya Khankhanian's NPI number?

The NPI number for Pouya Khankhanian is 1689093668. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Pouya Khankhanian located?

Pouya Khankhanian practices at 3400 Spruce St 2 Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Pouya Khankhanian's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pouya Khankhanian enrolled in Medicare?

Yes. Pouya Khankhanian 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 Pouya Khankhanian accept?

Health plans from CareSource (Common Ground Healthcare) list Pouya Khankhanian 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 Pouya Khankhanian was last updated on July 2, 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.