DR. KHODAIDAD H BASHARMAL (M.D.) – Internal Medicine Physician, NPI 1609855279

DR. KHODAIDAD H BASHARMAL (M.D.) is a healthcare provider. based in Glen allen, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101231457 (VA). The NPI Number for DR. KHODAIDAD H BASHARMAL (M.D.) is 1609855279

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHODAIDAD H BASHARMAL (M.D.)
NPI
1609855279
Phone
(804) 968-5700
Address
5000 COX RD
Enumeration Date
12 January 2006
Last Update Date
11 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038801403
Graduation Year
1969 (57 years ago)
PAC ID
8921280231
Group Practice PAC ID
9931011434
Professional Enrollment ID
I20110308000653
Address ID
VA201641821ST47100PLZX301

Contacts

Secure Messaging
VAExchange@patientfirstclinics.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for DR. KHODAIDAD H BASHARMAL (M.D.)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Fax: (804) 217-7991

    Type: Mailing

  • Shoppers Food & Pharmacy, 47100, Community Plaza, Sterling, Loudoun County, Virginia, 20164, United States

    SUITE 100

    STERLING, VA 201641826

    Phone: (804) 968-5700

    Fax: (804) 217-7991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110308000653IInternal MedicineVATBD
I20131219001637IInternal MedicineDCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes193166$0
99213Established patient office or other outpatient visit, 20-29 minutes163143$0
71046X-ray of chest, 2 views109103$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza10096$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)8279$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931011434View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. KHODAIDAD H BASHARMAL (M.D.)'s NPI?
You can confirm DR. KHODAIDAD H BASHARMAL (M.D.) with NPI 1609855279; it appears in the national provider directory.
Is DR. KHODAIDAD H BASHARMAL (M.D.) active in the national directory?
DR. KHODAIDAD H BASHARMAL (M.D.)'s public NPI profile is in an active state.
What does DR. KHODAIDAD H BASHARMAL (M.D.) treat or focus on?
Patients typically see DR. KHODAIDAD H BASHARMAL (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KHODAIDAD H BASHARMAL (M.D.)?
We surface Glen Allen, Virginia for DR. KHODAIDAD H BASHARMAL (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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