OMID KHODADADI M.D.
NPI 1689845588
Anesthesiology in Los Angeles, CA
About Omid Khodadadi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMID KHODADADI M.D. (NPI 1689845588) is an individual anesthesiology provider in Los Angeles, California, licensed in California (A101046) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Omid Khodadadi 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.
Medicare Billing Reassignments
9Medicare enrollment records show Omid Khodadadi reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90017
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Los Angeles, CA 90057
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 214 clinicians in this Medicare group
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- 2,570 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Indiana enrollment
- 287 clinicians in this Medicare group
Louisville, KY 40202
- Reassigned Medicare billing, Kentucky enrollment
- 526 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Omid Khodadadi's NPI number?
The NPI number for Omid Khodadadi is 1689845588. It was assigned to this individual provider in the NPPES registry on March 18, 2008.
Where is Omid Khodadadi located?
Omid Khodadadi practices at 1225 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 977-2486.
What is Omid Khodadadi's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Omid Khodadadi enrolled in Medicare?
Yes. Omid Khodadadi 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 organizations bill Medicare for Omid Khodadadi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omid Khodadadi reassigns Medicare benefits to 9 organizations: Samaritan Anesthesiology Medical Group (Los Angeles, CA), County Of Los Angeles (Los Angeles, CA), Pacific Valley Medical Group (Pasadena, CA), Bayside Anesthesia Medical Group (Santa Monica, CA), Equity Anesthesia (Tarzana, CA) and 4 more organizations, listed in the Medicare section above. Each 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 Omid Khodadadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Omid Khodadadi was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Omid Khodadadi, M.D. · NPI 1689845588
Anesthesiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 18, 2008.
## Identity
- **NPI:** 1689845588 (Entity type: Individual)
- **Enumerated:** March 18, 2008
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A101046 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 WILSHIRE BLVD, Los Angeles, CA 90017-1901
- **Phone:** (213) 977-2486
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Samaritan Anesthesiology Medical Group (NPI 1982792743, Los Angeles, CA); County Of Los Angeles (NPI 1295407401, Los Angeles, CA); Pacific Valley Medical Group (NPI 1851312862, Pasadena, CA); Bayside Anesthesia Medical Group (NPI 1184668469, Santa Monica, CA); Equity Anesthesia (NPI 1134746456, Tarzana, CA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** October 26, 2015
- **Other identifiers:** Other P01497136 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1689845588) · Data from the CMS NPPES public registry.