Omid Khodadadi, MD in Los Angeles, CA - Medicare Anesthesiology

Omid Khodadadi, MD is a medicare enrolled "Anesthesiology" physician in Los Angeles, California. He went to University Of California, San Diego School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Pacific Valley Medical Group and his current practice location is 1225 Wilshire Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 977-2486.

Omid Khodadadi is licensed to practice in California (license number A101046) 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 1689845588.

Contact Information

	Omid Khodadadi, MD
	1225 Wilshire Blvd, Los Angeles, CA 90017-1901
	(213) 977-2486
	Not Available

Map and Direction

Physician's Profile

Full Name	Omid Khodadadi
Gender	Male
Speciality	Anesthesiology
Experience	20 Years
Location	1225 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omid Khodadadi attended and graduated from University Of California, San Diego School Of Medicine in 2004

NPI Data:

NPI Number: 1689845588
Provider Enumeration Date: 03/18/2008
Last Update Date: 10/26/2015

Medicare PECOS Information:

PECOS PAC ID: 6709944689
Enrollment ID: I20081021000763

Medical Identifiers

Medical identifiers for Omid Khodadadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689845588	NPI	-	NPPES
P01497136	Other	CA	RAILROAD PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A101046 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Tarzana Medical Center	Tarzana, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Valley Medical Group	3577465368	94

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. Omid Khodadadi allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Pacific Valley Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762

Entity Name	Samaritan Anesthesiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982792743 PECOS PAC ID: 1456351824 Enrollment ID: O20070109000166

Entity Name	Tarzana Anesthesia Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508897463 PECOS PAC ID: 2668512914 Enrollment ID: O20091216000556

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. Omid Khodadadi 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 Address	Practice Location Address
Omid Khodadadi, MD 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 Ph: (213) 977-2486	Omid Khodadadi, MD 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 Ph: (213) 977-2486

Reviews and Comments

Anesthesiology Doctors in Los Angeles, CA

Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-9111
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061

Omid Khodadadi, MD - Medicare Anesthesiology in Los Angeles, CA