DR. MOHSEN KHODAKARAM (MD) – Internal Medicine Physician, NPI 1932190477
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for DR. MOHSEN KHODAKARAM (MD)
Jimmy John's, 2033, Buford Highway North East, Buford, Gwinnett County, Georgia, 30518, United States
SUITE 109
BUFORD, GA 305188802
Phone: (770) 945-4800
Fax: (770) 271-8428
Type: Mailing
2721 BUFORD HWY
BUFORD, GA 305183507
Phone: (770) 945-4800
Fax: (770) 271-8428
Type: Mailing
2721, Buford Highway, Rogers Mill, Duluth, Gwinnett County, Georgia, 30096, United States
BUFORD, GA 305183507
Phone: (770) 945-4800
Fax: (770) 271-8428
Type: Location
5755 N Point Pkwy Ste 34
Alpharetta, GA 300221144
Phone: (678) 240-0000
Fax: (678) 240-0001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-09-15 • Largest payer in this snapshot: ABBVIE INC. ($13).
Total Amount
$14
General + Research + Ownership
Payments
2
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $13 |
| Sumitomo Pharma America, Inc. | $1 |
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: 2004-02-04
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 |
|---|---|---|---|---|
| I20040204000536 | I | Internal Medicine | GA | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 2,107 | 224 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,067 | 315 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 159 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 125 | 125 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 101 | 45 | $0 |
Insurance plans in this area (ZIP 30518)
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