Mamad Mirza Bagheri, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME170386 Issued in FL

Practice address

6100 Trail Blvd Unit 307
Naples, FL 34108-2834

Phone

(951) 500-7286

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2026By 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

Other names 1

• Mohammed Mirza Bagheri Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of North Dakota School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mamad Bagheri MD PA

  • MOHS-Micrographic Surgery Physician
  • Naples, FL
  • NPI 1881536159
  Authorized official Same address or phone
• Mamad Bagheri MD PA

  • MOHS-Micrographic Surgery Physician
  • Wichita Falls, TX
  • NPI 1073055257
  Authorized official Same address or phone
• Aurora Urgent Care LLC

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1942318308
  NPD (past)
• Northland Family Physicians LLC

  dba Aurora Clinic

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1215990791
  NPD (past)
• University Dermatology, Inc.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1033159405
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1467560201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TRAIL BLVD UNIT 307",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082834",
            "telephone_number": "239-999-6647",
            "fax_number": "239-216-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 TRAIL BLVD UNIT 307",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082834",
            "telephone_number": "951-500-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "MAMAD",
        "middle_name": "MIRZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME170386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMED",
            "last_name": "BAGHERI",
            "middle_name": "MIRZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lourdes M Badia, PSY.D.
• Elizabeth Lee Dorn Badillo, LCSW
• Dina Antoun Badra, MD
• Jose Miguel Baez, M.D.
• Sylvia Eugenia Baez, APRN
• Tammy Bagwell, FNP-C
• Jibran M Baig
• Debra L Bailey, M.D.
• Gregory Norman Bailey, PA
• Michael George Bailey, HAD

• MOHS-Micrographic Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.