Individual provider Active NPI

Soidjon D. Khodjaev, MD

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1629313572
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2026-03779 Issued in NC
Practice address
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone
(704) 343-9800
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 299886 NY
Cardiovascular Disease Physician 207RC0000X 2026-03779 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 200
Charlotte, NC 28204-3578

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1415 Portland Ave Ste 350
Rochester, NY 14621
Phone (585) 442-5320

Other practice location 2

1150 Routes 5 and 20
Geneva, NY 14456
Phone (315) 789-5758

Other practice location 3

30 Hagen Dr
Rochester, NY 14625-2658
Phone (585) 442-5320

Other practice location 4

2365 S Clinton Ave Ste 100
Rochester, NY 14618-2663
Phone (585) 442-5320

Other practice location 5

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 293-7300

Other practice location 6

38 E South St
Geneseo, NY 14454-1354
Phone (585) 243-5790

Other practice location 7

299 Main St
Dansville, NY 14437-1135
Phone (585) 335-9840

Other practice location 8

200 North St
Geneva, NY 14456-1561
Phone (315) 787-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130325000248 CA Practitioner - Internal Medicine 7719122688 Reassigns benefits to 2 organizations
I20190905001731 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7719122688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Rochester, NY 14621-3022

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
299886NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Oct 22, 2020 Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Feb 4, 2013 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2019 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2019 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jul 1, 2014 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2019 Accepting new patients

Locations

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

299 Main St
Dansville, NY 14437
Phone (585) 335-9840

38 E South St
Geneseo, NY 14454
Phone (585) 243-5790

200 North St
Geneva, NY 14456
Phone (315) 787-5100

1150 State Route 5 and 20
Geneva, NY 14456
Phone (315) 759-5319

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1415 Portland Ave
Ste 350
Rochester, NY 14621

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

30 Hagen Dr
Rochester, NY 14625
Phone (585) 242-9450

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

Interoperability endpoints

  • Direct secure messaging: skhodjaev266193@direct.rochesterregional.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1629313572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043578",
            "telephone_number": "704-343-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Portland Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Routes 5 and 20",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "14456",
            "country_code": "US",
            "telephone_number": "315-789-5758",
            "fax_number": "315-789-0741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Hagen Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252658",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2365 S Clinton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182663",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Canal Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265109",
            "country_code": "US",
            "telephone_number": "585-293-7300",
            "fax_number": "585-227-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 E South St",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541354",
            "country_code": "US",
            "telephone_number": "585-243-5790",
            "fax_number": "585-243-5813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Main St",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144371135",
            "country_code": "US",
            "telephone_number": "585-335-9840",
            "fax_number": "585-335-9851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 North St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561561",
            "country_code": "US",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODJAEV",
        "first_name": "SOIDJON",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "299886",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2026-03779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.