MEHRDAD KHODADOOSTAN MD
NPI 1780379594
Podiatrist - Foot & Ankle Surgery in Irvine, CA
About Mehrdad Khodadoostan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEHRDAD KHODADOOSTAN MD (NPI 1780379594) is an individual foot & ankle surgery provider in Irvine, California, licensed in California (E6264) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mehrdad Khodadoostan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Mehrdad Khodadoostan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 33 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.
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 Mehrdad Khodadoostan's NPI number?
The NPI number for Mehrdad Khodadoostan is 1780379594. It was assigned to this individual provider in the NPPES registry on April 7, 2023.
Where is Mehrdad Khodadoostan located?
Mehrdad Khodadoostan practices at 18650 Macarthur Blvd Ste 450, Irvine, CA 92612. The listed phone number is (949) 570-7750.
What is Mehrdad Khodadoostan's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Mehrdad Khodadoostan enrolled in Medicare?
Yes. Mehrdad Khodadoostan 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 organization bills Medicare for Mehrdad Khodadoostan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mehrdad Khodadoostan reassigns Medicare benefits to Dazzle Health P C (Tustin, CA). The 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 Mehrdad Khodadoostan'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 Mehrdad Khodadoostan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mehrdad Khodadoostan, MD · NPI 1780379594
Foot & Ankle Surgery provider in Irvine, California. Individual provider, active in the CMS NPPES registry since April 7, 2023.
## Identity
- **NPI:** 1780379594 (Entity type: Individual)
- **Enumerated:** April 7, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E6264 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18650 MACARTHUR BLVD STE 450, Irvine, CA 92612-1253
- **Phone:** (949) 570-7750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dazzle Health P C (NPI 1578301495, Tustin, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western Un Of Hlth Sciences, Col Of Podiatric Med, class of 2023
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780379594) · Data from the CMS NPPES public registry.