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DR. KYMIA KHOSROWANI MD
NPI 1962930065
Family Medicine - Adult Medicine in Upper Marlboro, MD

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774(301) 618-5500 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2022, Nov 22, 2021, Jun 1, 2017 (3 updates tracked since 2017).

About Dr. Kymia Khosrowani Md NPPES

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

DR. KYMIA KHOSROWANI MD (NPI 1962930065) is an individual adult medicine provider in Upper Marlboro, Maryland, licensed in Maryland (D90175) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1962930065
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KYMIA KHOSROWANICredential: MD
Location Address1221 MERCANTILE LNUpper Marlboro, MD 20774-5374
Mailing Address1221 Mercantile LnUpper Marlboro, MD 20774-5374 · (301) 618-5500
Phone(301) 618-5500
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateJune 1, 2017
Last NPPES UpdateFebruary 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
✔ NPI 1962930065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MD · D90175
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1221 MERCANTILE LN, Upper Marlboro, MD 20774
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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

Dr. Kymia Khosrowani 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 ID6406121391
PECOS Enrollment IDI20201005002385, I20210621000579
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 20774 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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 20

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

DR. EARL JOHN D MAURICIO M.D.
Psychiatry & Neurology (Psychiatry)
1221 MERCANTILE LN
LARGO, MD 20774
Prince George's County (301) 386-6800
DR. ENYINNAYA ROSE NWANERI M.D.,M.P.H.
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 395-2074
DR. LYNN ANETTA THOMAS MD
Internal Medicine
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Prince George's County (301) 618-5500
DR. VIRGIL LEE GRAHAM MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1221 MERCANTILE LN, DEPT OF OBGYN
LARGO, MD 20774
Prince George's County (301) 618-5578
SASHA ROCHELLE JARRETT MD
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 456-4368
FELICIA C ELVIS PA
Physician Assistant
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Prince George's County (301) 618-5500
MOHAMED A ATALLA M.D.
Urology
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY
LARGO, MD 20774
Prince George's County (301) 618-5500
TINA MUSA
Obstetrics & Gynecology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 618-5500

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 Kymia Khosrowani's NPI number?

The NPI number for Kymia Khosrowani is 1962930065. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Kymia Khosrowani located?

Kymia Khosrowani practices at 1221 Mercantile Ln, Upper Marlboro, MD 20774. The listed phone number is (301) 618-5500.

What is Kymia Khosrowani's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kymia Khosrowani enrolled in Medicare?

Yes. Kymia Khosrowani 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 Kymia Khosrowani was last updated on February 21, 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.