ELHAM KHAZAEI DPM
NPI 1740766633
Podiatrist - Foot & Ankle Surgery in Staten Island, NY

Active since July 14, 2018PECOS EnrolledAccepts Medicare Assignment
355 BARD AVE, STATEN ISLAND, NY 10310(718) 818-1234 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Jul 14, 2018 (2 updates tracked since 2018).

About Elham Khazaei Dpm NPPES

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

ELHAM KHAZAEI DPM (NPI 1740766633) is an individual foot & ankle surgery provider in Staten Island, New York, licensed in New York (R10755) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740766633
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameELHAM KHAZAEICredential: DPM
Location Address355 BARD AVEStaten Island, NY 10310-1664
Mailing Address355 Bard AveStaten Island, NY 10310-1664
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2018
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPI 1740766633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · R10755
355 BARD AVE, Staten Island, NY 10310

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

Elham Khazaei Dpm 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 ID8224373220
PECOS Enrollment IDI20230105000595
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.

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.

Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310

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 Elham Khazaei's NPI number?

The NPI number for Elham Khazaei is 1740766633. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Where is Elham Khazaei located?

Elham Khazaei practices at 355 Bard Ave, Staten Island, NY 10310. The listed phone number is (718) 818-1234.

What is Elham Khazaei's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Elham Khazaei enrolled in Medicare?

Yes. Elham Khazaei 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 Elham Khazaei was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.