Amir Bajoghli, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

0101053252 Issued in VA

Practice address

1359 Beverly Rd
Suite 200
MC Lean, VA 22101-3666

Phone

(703) 893-1114

Fax

(703) 893-4449

NPI assigned

May 19, 2006

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Dermatology

Education

Tufts University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Laser Surgery CenterGroup PAC ID 4082788302, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Skin and Laser Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Vienna, VA
  • NPI 1720277932

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1275586190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 BEVERLY RD",
            "address_2": "SUITE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013666",
            "telephone_number": "703-893-1114",
            "fax_number": "703-893-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 BEVERLY RD",
            "address_2": "SUITE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013666",
            "telephone_number": "703-893-1114",
            "fax_number": "703-893-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJOGHLI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101053252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter G Bagnall, LPC
• Madiha Baig
• Uzma H Baig, COUNSELING RESIDENT
• Meagan Bailey
• Priya Bajaj, LPC
• Mehran Bajoghli, M.D.
• Franca M Bakane, PMHNP
• Colleen Baker, LMFT
• Troy W Baker, D.O.
• Joubin Bakhtar, D.C.

• MOHS-Micrographic Surgery Physician in McLean, VA
• Providers in McLean, VA by specialty
• MOHS-Micrographic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.