SARA KHODOR – Cardiovascular Disease Physician, NPI 1720440068
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
Provider Addresses for SARA KHODOR
1421 Malabar Rd NE
Palm Bay, FL 329072576
Phone: (321) 312-3491
Fax: (321) 952-6946
Type: Location
Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481244089
Phone: (313) 593-7000
Type: Mailing
3300 S FISKE BLVD
ROCKLEDGE, FL 329554306
Phone: (321) 312-3491
Type: Mailing
1223 GATEWAY DR
MELBOURNE, FL 329012607
Phone: (321) 312-3491
Fax: (321) 952-6946
Type: Location
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-4176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-01-01 • Largest payer in this snapshot: Inari Medical, Inc. ($195).
Total Amount
$631
General + Research + Ownership
Payments
11
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $195 |
| Boston Scientific Corporation | $112 |
| CathWorks, Inc. | $84 |
| Penumbra, Inc. | $63 |
| Medtronic, Inc. | $47 |
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: 2023-06-12
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 |
|---|---|---|---|---|
| I20230612000614 | I | Interventional Cardiology | FL | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 49 | 49 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 41 | 30 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 37 | 36 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 32907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Family Practice | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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