HOUMAN KHOSROZADEH MD
NPI 1962065599
Pediatrics - Pediatric Emergency Medicine in Summit, NJ

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Apr 18, 2019 (2 updates tracked since 2019).

About Houman Khosrozadeh Md NPPES

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

HOUMAN KHOSROZADEH MD (NPI 1962065599) is an individual pediatric emergency medicine provider in Summit, New Jersey, licensed in New Jersey (25MA11462000) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962065599
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameHOUMAN KHOSROZADEHCredential: MD
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address1600 S Andrews AveFort Lauderdale, FL 33316-2510
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2019
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1962065599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NJ · 25MA11462000
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 25MA11462000 (NJ)
99 BEAUVOIR AVE, Summit, NJ 07901

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

Houman Khosrozadeh 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.

PECOS PAC ID4981114709
PECOS Enrollment IDI20250611000163
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.

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.

Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901

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 Houman Khosrozadeh's NPI number?

The NPI number for Houman Khosrozadeh is 1962065599. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Houman Khosrozadeh located?

Houman Khosrozadeh practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.

What is Houman Khosrozadeh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Houman Khosrozadeh enrolled in Medicare?

Yes. Houman Khosrozadeh 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 Houman Khosrozadeh was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.