KHOSROW VAKHSHOURI (M.D.) – Family Medicine Physician, NPI 1215993456
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for KHOSROW VAKHSHOURI (M.D.)
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
MODESTO, CA 953554201
Phone: (209) 524-1211
Type: Mailing
West Grant Line Road, Tracy, San Joaquin County, California, 95304, United States
TRACY, CA 953777309
Phone: (209) 832-0535
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $817.
Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($125).
Total Amount
$817
General + Research + Ownership
Payments
7
Total payment records
General Amount
$817
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040903000501 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 491 | 194 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 102 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 80 | 80 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 55 | 26 | $0 |
| G0009 | Administration of pneumococcal vaccine | 27 | 27 | $0 |
Insurance plans in this area (ZIP 95355)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Allergy/Immunology, Rheumatology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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