Individual provider Active NPI

Mahin D Behbehanian, MD

  • Surgery Physician
  • Newtown Square, PA
National Provider Identifier
1265499461
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD033116L Issued in PA
Practice address
3723 Rosemont Pass
Newtown Square, PA 19073-4106
Phone
(610) 745-6701
Fax
(610) 565-7426
NPI assigned
May 1, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD033116L PA Primary

Addresses

Primary practice location

3723 Rosemont Pass
Newtown Square, PA 19073-4106

Mailing address

3723 Rosemont Pass
Newtown Square, PA 19073-4106
Phone (610) 745-6701

Other identifiers 1

IdentifierTypeStateIssuer
001411762MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080422000294 PA Practitioner - General Surgery 8921186636 Practice locations: Newtown Square, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033116LPAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1265499461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 ROSEMONT PASS",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734106",
            "telephone_number": "610-745-6701",
            "fax_number": "610-565-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 ROSEMONT PASS",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734106",
            "telephone_number": "610-745-6701",
            "fax_number": "610-565-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHBEHANIAN",
        "first_name": "MAHIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD033116L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001411762",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.