Individual provider Active NPI

David A. Mehregan, M.D.

  • Dermatopathology Physician
  • Monroe, MI
National Provider Identifier
1215910252
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
4301407167 Issued in MI
Practice address
1314 N Macomb St
Monroe, MI 48162-3131
Phone
(734) 242-6872
Fax
(734) 242-4962
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 4301407167 MI Primary

Addresses

Primary practice location

1314 N Macomb St
Monroe, MI 48162-3131

Mailing address

1314 N Macomb St
Monroe, MI 48162-3131
Phone (734) 242-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190124001422 UT Practitioner - Pathology 5092784959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Pathology Services IncGroup PAC ID 1355251521, 28 clinicians

Practice addresses (Care Compare)

170 N 1100
American Fork, UT 84003-2096
Phone (801) 855-3300

5252 S Intermountain Dr
Murray, UT 84107-5700
Phone (801) 266-0055

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 266-0055

9660 S 1300
Sandy, UT 84094-3762
Phone (801) 266-0055

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
86.38
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Pathology Services, Inc CurrentSince Jan 1, 2019 Accepting new patients
Hilbrich Dermatopathology Laboratory PC PastSince May 31, 2013 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

5330 S 900 E
Ste 120
Murray, UT 84117
Phone (801) 631-8769

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400

5252 S Intermountain Dr
Salt Lake City, UT 84107
Phone (801) 507-2110

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417

765 E Market Place Dr
Ste Fr
Spanish Fork, UT 84660

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1215910252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623131",
            "telephone_number": "734-242-6872",
            "fax_number": "734-242-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623131",
            "telephone_number": "734-242-6872",
            "fax_number": "734-242-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHREGAN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "4301407167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.