KHAMIDULLA BAKHADIROV MD MS
NPI 1932330180
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khamidulla Bakhadirov Md Ms NPPES

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

KHAMIDULLA BAKHADIROV MD MS (NPI 1932330180) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932330180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHAMIDULLA BAKHADIROVCredential: MD MS
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address15 Francis St, Apt 12Brookline, MA 02446-6622 · (214) 708-6599
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 6, 2009
Last NPPES UpdateFebruary 11, 2022
NPI 1932330180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
55 FRUIT ST, Boston, MA 02114

Other Identifiers 1

Other131740114NY · Montefiore Medical Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khamidulla Bakhadirov Md Ms 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.

PECOS PAC ID9234391079
PECOS Enrollment IDI20151109000644
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Khamidulla Bakhadirov's NPI number?

The NPI number for Khamidulla Bakhadirov is 1932330180. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Khamidulla Bakhadirov located?

Khamidulla Bakhadirov practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-1067.

What is Khamidulla Bakhadirov's specialty?

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

Is Khamidulla Bakhadirov enrolled in Medicare?

Yes. Khamidulla Bakhadirov 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.

When was this NPI record last updated?

The NPPES record for Khamidulla Bakhadirov was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.