NIMA KHAVANIN
NPI 1770973190
Plastic Surgery in Baltimore, MD

Q: What is Nima Khavanin's NPI number?

The NPI number for Nima Khavanin is 1770973190. It was assigned to this individual provider in the NPPES registry on January 24, 2015.

Q: What is Nima Khavanin's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Nima Khavanin was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 24, 2015PECOS Enrolled

4940 EASTERN AVE, SUITE A518, BALTIMORE, MD 21224(410) 550-0407 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, May 10, 2016 (2 updates tracked since 2016).

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About Nima Khavanin NPPES

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

NIMA KHAVANIN (NPI 1770973190) is an individual plastic surgery provider in Baltimore, Maryland, licensed in District Of Columbia (MD500003365) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Northwestern University Feinberg Medical School (2016).

NPPES Registry Identity

NPI1770973190

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameNIMA KHAVANIN

Location Address4940 EASTERN AVE, SUITE A518Baltimore, MD 21224-2735

Mailing Address6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004 · (410) 933-2704

Phone(410) 550-0407

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016

Enumeration DateJanuary 24, 2015

Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1770973190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in DC · MD500003365✔ Licensed in MD · D0100771

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

4940 EASTERN AVE, Baltimore, MD 21224

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Secondary Practice Location 1

Location 15255 Loughboro Rd NWWashington, DC 20016-2633 · Phone (202) 537-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nima Khavanin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335497593

PECOS Enrollment IDI20240731001840, I20240731002092

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 21224 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

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.

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology