DR. PEDRAM KHOSRAVIAN D.M.D.
NPI 1770716243
Dentist - Endodontics in San Marcos, TX

Q: What is Pedram Khosravian's NPI number?

The NPI number for Pedram Khosravian is 1770716243. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Q: What is Pedram Khosravian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Pedram Khosravian was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 31, 2009PECOS Enrolled

1920 CORPORATE DR. STE 107A, SAN MARCOS, TX 78666(512) 722-6338 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pedram Khosravian D.m.d. NPPES

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

DR. PEDRAM KHOSRAVIAN D.M.D. (NPI 1770716243) is an individual endodontics provider in San Marcos, Texas, licensed in Texas (25904) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770716243

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. PEDRAM KHOSRAVIANCredential: D.M.D.

Location Address1920 CORPORATE DR. STE 107ASan Marcos, TX 78666

Mailing Address1920 Corporate Dr. Ste 107aSan Marcos, TX 78666 · (512) 722-6338

Phone(512) 722-6338

Sole ProprietorNo

Enumeration DateAugust 31, 2009

Last NPPES UpdateDecember 13, 2013

✔ NPI 1770716243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in TX · 25904

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 58700 (CA), 25904 (TX)

1920 CORPORATE DR. STE 107A, San Marcos, TX 78666

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pedram Khosravian D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 78666 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 Pedram Khosravian's NPI number?

The NPI number for Pedram Khosravian is 1770716243. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Pedram Khosravian located?

Pedram Khosravian practices at 1920 Corporate Dr. Ste 107A, San Marcos, TX 78666. The listed phone number is (512) 722-6338.

What is Pedram Khosravian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Pedram Khosravian enrolled in Medicare?

Yes. Pedram Khosravian is registered in the Medicare PECOS enrollment system.

What insurance does Pedram Khosravian accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Pedram Khosravian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pedram Khosravian was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.