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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.

MOHAMMADOMID EDRISSIAN M.D.
NPI 1699063941
Internal Medicine - Rheumatology in Sacramento, CA

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
1651 EXPOSITION BLVD # 302, SACRAMENTO, CA 95815(916) 455-3700 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Dec 17, 2021 (2 updates tracked since 2021).

About Mohammadomid Edrissian M.d. NPPES

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

MOHAMMADOMID EDRISSIAN M.D. (NPI 1699063941) is an individual rheumatology provider in Sacramento, California, licensed in California (A116803) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1699063941
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMOHAMMADOMID EDRISSIANCredential: M.D.
Location Address1651 EXPOSITION BLVD # 302Sacramento, CA 95815-5149
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(916) 455-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 20, 2011
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1699063941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in CA · A116803✔ Licensed in IA · 40781✔ Licensed in NY · 280630
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedHospitalistTaxonomy 208M00000X · License 40781 (IA), MD443871 (PA)
1651 EXPOSITION BLVD # 302, Sacramento, CA 95815
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Secondary Practice Location 1

Location 1222 Alexander St, RHEUMATOLOGYRochester, NY 14607-4039 · Phone (585) 922-8350

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

Mohammadomid Edrissian 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.

PECOS PAC ID5799957015
PECOS Enrollment IDI20171205002643
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 95815 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Mohammadomid Edrissian's NPI number?

The NPI number for Mohammadomid Edrissian is 1699063941. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Mohammadomid Edrissian located?

Mohammadomid Edrissian practices at 1651 Exposition Blvd # 302, Sacramento, CA 95815. The listed phone number is (916) 455-3700.

What is Mohammadomid Edrissian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mohammadomid Edrissian enrolled in Medicare?

Yes. Mohammadomid Edrissian 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.

When was this NPI record last updated?

The NPPES record for Mohammadomid Edrissian was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.