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DR. NILOOFAR KHOSRAVIAN
NPI 1790126779
Dentist - Endodontics in San Marcos, TX

Active since July 08, 2013PECOS Enrolled
1920 CORPORATE DR, #107 A, SAN MARCOS, TX 78666(818) 922-5752 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Jun 21, 2020, Jan 19, 2017 and 2 more (5 updates tracked since 2015).

About Dr. Niloofar Khosravian NPPES

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

DR. NILOOFAR KHOSRAVIAN (NPI 1790126779) is an individual endodontics provider in San Marcos, Texas, licensed in California (DDS102381) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790126779
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. NILOOFAR KHOSRAVIAN
Location Address1920 CORPORATE DR, #107 ASan Marcos, TX 78666-6283
Mailing Address410 W Colorado StGlendale, CA 91204-1504 · (818) 922-5752
Phone(818) 922-5752
Sole ProprietorYes
Enumeration DateJuly 8, 2013
Last NPPES UpdateMay 5, 20265 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1790126779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CA · DDS102381✔ Licensed in TX · 31791
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 ListedDentistTaxonomy 122300000X · License DS040753 (PA), 31791 (TX), DL11947 (MA), 057614 (NY)
1920 CORPORATE DR, 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. Niloofar Khosravian 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK RANDOLPH MD PA
Clinic/Center (Primary Care)
1920 CORPORATE DR, SUITE 208
SAN MARCOS, TX 78666
Hays County (512) 878-6330
WELLSTREAM HEALTH SERVICES LLC
Home Health
1920 CORPORATE DR, SUITE A-108
SAN MARCOS, TX 78666
Hays County (512) 392-0157
DR. MARK B RANDOLPH MD
Family Medicine
1920 CORPORATE DR, SUITE 208
SAN MARCOS, TX 78666
Hays County (512) 878-6330

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 Niloofar Khosravian's NPI number?

The NPI number for Niloofar Khosravian is 1790126779. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Niloofar Khosravian located?

Niloofar Khosravian practices at 1920 Corporate Dr #107 A, San Marcos, TX 78666. The listed phone number is (818) 922-5752.

What is Niloofar Khosravian's specialty?

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

Is Niloofar Khosravian enrolled in Medicare?

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

What insurance does Niloofar 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 8 other insurers list Niloofar 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 Niloofar Khosravian was last updated on May 5, 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.