Active NPI
Mehran Bajoghli, M.D.
- General Practice Physician
- McLean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101231597
- Practice address
- 1570 Onyx Dr Unit 305
MC Lean, VA 22102-3957 - Phone
- (703) 244-9117
- Fax
- (571) 200-2618
- NPI assigned
- Oct 2, 2006
- Last updated
- May 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 07395 | VA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 0101231597 | VA | |
| General Practice Physician | 208D00000X | 0101231597 | VA | Primary |
Addresses
Primary practice location
1570 Onyx Dr Unit 305
MC Lean, VA 22102-3957
Mailing address
1570 Onyx Dr Unit 305
MC Lean, VA 22102-3957
Phone (703) 244-9117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30016041500017 | Medicaid | VA | |
| 6B8333 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1570 Onyx Dr
Unit 305
MC Lean, VA 22102-3957
Phone (703) 244-9117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07395 | VA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allevius Clinic | Addiction Medicine | Current | Accepting new patients |
| Recover Together, Inc. | Internal Medicine | Current | Accepting new patients |
| Brightview LLC | Addiction Medicine | Current | Accepting new patients |
| Recover Together, LLC | Internal Medicine | Current | Accepting new patients |
| Brightview LLC | Addiction Medicine | Current | Accepting new patients |
| Wynn Medical Center | Past | Accepting new patients | |
| Crossroads Treatment Center of Winchester, PC | Past | Accepting new patients |
Locations
Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100
615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800
240 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 371-1700
3704 Old Forest Rd
Lynchburg, VA 24501
8551 Rixlew Ln
Ste 100
Manassas, VA 20109
Phone (540) 212-6090
6212 Jefferson Ave
Newport News, VA 23605
310 Turner Rd
Ste Dh
North Chesterfield, VA 23225
Phone (540) 202-2554
280 Virginia Ave NE
Ste 104
Norton, VA 24273
Phone (276) 679-0321
4899 Prince William Pkwy
Woodbridge, VA 22192
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- mehran.bajoghli@202362935902212.direct.elationemr.com
Organizations & group practices 7
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lynchburg, VA
- NPI 1649786260
Addiction Medicine
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
-
dba Groups Recover Together
- Adult Mental Health Clinic/Center
- London, KY
- NPI 1346736758
Internal Medicine
-
dba Groups Recover Together
- Adult Mental Health Clinic/Center
- Lawrenceburg, IN
- NPI 1891102497
Internal Medicine
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Winchester, VA
- NPI 1750823043
-
- Health Service Clinic/Center
- Duffield, VA
- NPI 1457056566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1699868786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 ONYX DR UNIT 305",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023957",
"telephone_number": "703-244-9117",
"fax_number": "571-200-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 ONYX DR UNIT 305",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023957",
"telephone_number": "703-244-9117",
"fax_number": "571-200-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJOGHLI",
"first_name": "MEHRAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "VA",
"license": "07395",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "VA",
"license": "0101231597",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101231597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016041500017",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "6B8333",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.