Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Khodadad Modjtabai, M.D.

Specialist in Columbia, MD · enumerated 2005 · practices at Mateen A. Awan MD LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578567913

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Registry record

Entity type Individual (Type 1)

Name Dr. Khodadad Modjtabai

Credential M.D.

Sex Male

Practice address 10802 Hickory Ridge Rd, Columbia, MD, 21044

Phone (301) 997-1336

Fax (410) 997-1636

Enumeration date Jun 13, 2005

Last updated in NPPES Oct 23, 2012

Taxonomy & licenses

174400000X Specialist Other Service Providers · License DOO61559 (MD) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
MD0200488	Other	MD	TRICARE
1013399	Other	MD	ELDER HEALTH
243508	Other	MD	KAISER
P00287135	Other	MD	RAILROAD
243208	Other	MD	AMERIGROUP
5125212	Other	MD	MAMSI
9200455	Other	MD	EVERCARE
7615905	Medicaid	NC	-
N1510002	Other	DC	BLUE CROSS FEDERAL
1013399	Other	VA	FIRST HEALTH
2426820	Other	MD	UNITED HEALTHCARE
243208	Other	MD	AMERICAID
404889000	Medicaid	MD	-
7305576	Other	MD	AETNA OTHER
1142253	Other	MD	AETNA HMO
126480	Other	MD	JOHNS HOPKINS
3059165	Other	MD	CIGNA
5701	Other	MD	ELDER HEALTH
036555600	Medicaid	DC	-
410823	Other	MD	AMERICHOICE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1578567913 active?

Yes, as of the latest NPPES snapshot, NPI 1578567913 is active (record last updated 2012-10-23).

How do I verify Khodadad Modjtabai's NPI record?

Cross-check NPI 1578567913 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Imran Chowdhury Specialist · Columbia, MD NPI 1396747549 Jie Kong Family Nurse Practitioner · Columbia, MD NPI 1215040951 Mateen A. Awan MD LLC Internal Medicine Physician · Columbia, MD NPI 1356560460

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-23.