Dr Roozbeh A Ahmadi, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lodi, California. His current practice location is
1117 W Tokay St Ste A, Lodi, California. You can reach out to his office (for appointments etc.) via phone at
(209) 484-3000.
Dr Roozbeh A Ahmadi is licensed to practice in California (license number A166182) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134657943.
Physician's Profile
| Full Name | Dr Roozbeh A Ahmadi |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1117 W Tokay St Ste A, Lodi, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134657943
- Provider Enumeration Date: 05/24/2017
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082969589
- Enrollment ID: I20221006000537
Medical Identifiers
Medical identifiers for Dr Roozbeh A Ahmadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134657943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | T8744 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | T8744 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A166182 (California) | Primary |
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. Dr Roozbeh A Ahmadi allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Dr Roozbeh A Ahmadi 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 |
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Dr Roozbeh A Ahmadi, MD
Po Box 1462,
Hughson, CA 95326-1462
Ph: (209) 448-3000 | Dr Roozbeh A Ahmadi, MD
1117 W Tokay St Ste A,
Lodi, CA 95240-3844
Ph: (209) 484-3000 |
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