Dr Roozbeh A Ahmadi, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lodi, California. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice University Of Texas Southwestern Medical Center At Dallas, Norcal Pain Treatment Center Corp and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Interventional Pain Management |
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| Experience | 8 Years |
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| Location | 1117 W Tokay St Ste A, Lodi, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Roozbeh A Ahmadi graduated from medical school in 2017
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
| Norcal Pain Treatment Center Corp | 5698007086 | 10 |
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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