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REZA KHODAVERDIAN M.D.
NPI 1700050689
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Irvine, CA

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
113 WATERWORKS WAY STE 140, IRVINE, CA 92618(949) 932-0053 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jan 31, 2023, May 3, 2021 and 2 more (5 updates tracked since 2017).

About Reza Khodaverdian M.d. NPPES

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

REZA KHODAVERDIAN M.D. (NPI 1700050689) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Irvine, California, licensed in California (A127413) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1700050689
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameREZA KHODAVERDIANCredential: M.D.
Location Address113 WATERWORKS WAY STE 140Irvine, CA 92618-3168
Mailing Address19 Heather Hill LnLaguna Hills, CA 92653-6043 · (801) 641-1344 · Fax (760) 568-6470
Phone(949) 932-0053
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 22, 2008
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1700050689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in CA · A127413✔ Licensed in MD · PENDING
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License A127413 (CA)
113 WATERWORKS WAY STE 140, Irvine, CA 92618
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Secondary Practice Locations 3

Location 112500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-7000
Location 212502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-8724
Location 339000 Bob Hope Dr Ste K108Rancho Mirage, CA 92270-7001 · Phone (801) 641-1344 · Fax (760) 568-6470

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

Reza Khodaverdian 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 ID1658427307
PECOS Enrollment IDI20200316002758
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Reza Khodaverdian reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Cosmetics La
0.1 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
112 WATERWORKS WAY, SUITE 140
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
NPI 1366912446 (949) 636-7775
American Current Care Of California, A Medical Corporation
21 mi
Urgent Care
40 CENTERPOINTE DR
La Palma, CA 90623
  • Reassigned Medicare billing, California enrollment
  • 304 clinicians in this Medicare group
NPI 1932534609 (714) 522-8020
Glendale Adventist Medical Center
43 mi
Psychiatric Unit
1509 WILSON TER
Glendale, CA 91206
  • Reassigned Medicare billing, California enrollment
  • 164 clinicians in this Medicare group
NPI 1336138403 (818) 409-8000
Usa Vascular Centers Of Los Angeles, PC
50 mi
Vascular Surgery
12840 RIVERSIDE DR, SUITE 300A
Valley Village, CA 91607
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1679951362 (323) 798-1800
Desert Valley Obgyn Inc
78 mi
Gynecology
39000 BOB HOPE DR STE 303
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1851828222 (760) 346-1133
Mercy Clinic Fort Smith Communities
1,338 mi
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
NPI 1902073620 (479) 314-1101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
266 services77 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
188 services54 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
123 services91 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
112 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
105 services105 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
65 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Reza Khodaverdian's NPI number?

The NPI number for Reza Khodaverdian is 1700050689. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Reza Khodaverdian located?

Reza Khodaverdian practices at 113 Waterworks Way Ste 140, Irvine, CA 92618. The listed phone number is (949) 932-0053.

What is Reza Khodaverdian's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Reza Khodaverdian enrolled in Medicare?

Yes. Reza Khodaverdian 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 Reza Khodaverdian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reza Khodaverdian reassigns Medicare benefits to 6 organizations: Vascular Cosmetics La (Irvine, CA), American Current Care Of California, A Medical Corporation (La Palma, CA), Glendale Adventist Medical Center (Glendale, CA), Usa Vascular Centers Of Los Angeles, PC (Valley Village, CA), Desert Valley Obgyn Inc (Rancho Mirage, CA) and 1 more organization, 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 Reza Khodaverdian'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 Reza Khodaverdian was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.