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MELODY KHOSRAVI
NPI 1912537283
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since January 24, 2020PECOS Enrolled
300 PASTEUR DR, PALO ALTO, CA 94304(408) 431-1506 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melody Khosravi NPPES

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

MELODY KHOSRAVI (NPI 1912537283) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1912537283
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELODY KHOSRAVI
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address1079 Plymouth DrSunnyvale, CA 94087-1741
Phone(408) 431-1506
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2023
Enumeration DateJanuary 24, 2020
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1912537283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Palo Alto, CA 94304
Open in Google Maps ↗

Other Identifiers 1

Other000Samuel Merritt University

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2062971765
PECOS Enrollment IDI20260824002018
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.

Medicare Billing Reassignment

Medicare enrollment records show Melody Khosravi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
4.7 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RHEA MATHEW NP
Nurse Practitioner
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
JUSTIN AYALA BIRNBAUM M.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
MAHENDRA TAKASHI BHATI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ANDREA ERIKA AMENT M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
CATHERINE BENEDICT PHD
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
RYAN THOMAS ASH MD, PHD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ARDEN MARIE MORRIS MD
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
BENJAMIN ZEWDU BELAI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000

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 Melody Khosravi's NPI number?

The NPI number for Melody Khosravi is 1912537283. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Melody Khosravi located?

Melody Khosravi practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (408) 431-1506.

What is Melody Khosravi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melody Khosravi enrolled in Medicare?

Yes. Melody Khosravi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melody Khosravi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Khosravi reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, 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 Melody Khosravi'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 Melody Khosravi was last updated on May 24, 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.