SAYED EYEDN KHOSROWSHAHI CRNA
NPI 1700405164
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
530 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-1735(502) 852-6056 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2020, Jul 31, 2020, Jul 3, 2020 and 1 more (4 updates tracked since 2020).

About Sayed Eyedn Khosrowshahi Crna NPPES

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

SAYED EYEDN KHOSROWSHAHI CRNA (NPI 1700405164) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (3014685) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700405164
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSAYED EYEDN KHOSROWSHAHICredential: CRNA
Location Address530 S JACKSON STLouisville, KY 40202-1675
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328 · Fax (502) 587-4784
Fax(502) 852-6056
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateAugust 4, 20204 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1700405164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3014685
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
530 S JACKSON ST, Louisville, KY 40202

Secondary Practice Locations 2

Location 13400 Jeridon CvJonesboro, AR 72404-8197 · Phone (502) 777-3399
Location 2200 Abraham Flexner WayLouisville, KY 40202-2877 · Phone (502) 587-4404 · Fax (502) 587-4156

Other Identifiers 2

Medicaid300040911IN
Medicaid7100679340KY

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

Sayed Eyedn Khosrowshahi Crna 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 ID9436574043
PECOS Enrollment IDI20250321000999
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

3

Medicare enrollment records show Sayed Khosrowshahi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
530 S JACKSON ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
Anesthesiology
360 MISSOURI AVE, BLDG 19A, SUITE 102
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 48 clinicians in this Medicare group
Anesthesiology
2990 GOTTBRATH PKWY
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 55 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Anesthesiology
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Radiology (Vascular & Interventional Radiology)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Psychiatric/Mental Health)
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202

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 Sayed Khosrowshahi's NPI number?

The NPI number for Sayed Khosrowshahi is 1700405164. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Sayed Khosrowshahi located?

Sayed Khosrowshahi practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-1735.

What is Sayed Khosrowshahi's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sayed Khosrowshahi enrolled in Medicare?

Yes. Sayed Khosrowshahi 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 Sayed Khosrowshahi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sayed Khosrowshahi reassigns Medicare benefits to 3 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY), Ema Anesthesia, Psc (Jeffersonville, IN) and Apollo Medical Group Of Jeffersonville LLC (Jeffersonville, IN). 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 Sayed Khosrowshahi'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 Sayed Khosrowshahi was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.