Dr Derek A Khorsand, MD - Medicare Diagnostic Radiology in Coeur D'alene, ID

Dr Derek A Khorsand, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Coeur D'alene, Idaho. He went to University Of Washington School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kootenai Health Inc, Benewah Community Hospital, Boundary Community Hospital, Radiology Associates Of North Idaho Pa and his current practice location is Kootenai Health, 2003 Kootenai Way, Coeur D'alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-6361.

Dr Derek A Khorsand is licensed to practice in Idaho (license number M-15066) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598176448.

Contact Information

Dr Derek A Khorsand, MD
Kootenai Health, 2003 Kootenai Way,
Coeur D'alene, ID 83814
(208) 625-6361
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek A Khorsand
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
LocationKootenai Health, Coeur D'alene, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek A Khorsand attended and graduated from University Of Washington School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1598176448
  • Provider Enumeration Date: 05/14/2014
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092934398
  • Enrollment ID: I20200522002379

Medical Identifiers

Medical identifiers for Dr Derek A Khorsand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598176448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M-15066 (Idaho)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology M-15066 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Health Inc1355792276330
Benewah Community Hospital185020070028
Boundary Community Hospital327458340620
Radiology Associates Of North Idaho Pa438563515022

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Derek A Khorsand allows following entities to bill medicare on his behalf.
Entity NameRadiology Associates Of North Idaho Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851384416
PECOS PAC ID: 4385635150
Enrollment ID: O20040520000648
Entity NameBonner General Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014
Entity NameBenewah Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386632180
PECOS PAC ID: 1850200700
Enrollment ID: O20040927000265
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameBoundary Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801896683
PECOS PAC ID: 3274583406
Enrollment ID: O20050126000312
Entity NameBenewah Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548320435
PECOS PAC ID: 1850200700
Enrollment ID: O20061104000136
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derek A Khorsand is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Derek A Khorsand, MD
Kootenai Outpatient Imaging, 700 W Ironwood Dr, Suite 175,
Coeur D'alene, ID 83814

Ph: (208) 625-6300
Dr Derek A Khorsand, MD
Kootenai Health, 2003 Kootenai Way,
Coeur D'alene, ID 83814

Ph: (208) 625-6361

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Radiology Doctors in Coeur D'alene, ID