Active NPI
Mehdi Bajoghli, M.D.
- Specialist
- Woodbridge, VA
National Provider Identifier
1720193048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2200 Opitz Blvd
Suite 230
Woodbridge, VA 22191-3321 - Phone
- (703) 490-5803
- Fax
- (703) 490-6443
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Primary |
Addresses
Primary practice location
2200 Opitz Blvd
Suite 230
Woodbridge, VA 22191-3321
Mailing address
2200 Opitz Blvd
Suite 230
Woodbridge, VA 22191-3321
Phone (703) 490-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1957
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1359 Beverly Rd
Suite 200
MC Lean, VA 22101-3668
Phone (703) 893-1114
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Laser Surgery Center | Current | Accepting new patients |
Locations
1359 Beverly Rd
Ste 200
McLean, VA 22101
Phone (703) 893-1114
2200 Opitz Blvd
Ste 230
Woodbridge, VA 22191
Phone (703) 490-5803
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720193048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 OPITZ BLVD",
"address_2": "SUITE 230",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913321",
"telephone_number": "703-490-5803",
"fax_number": "703-490-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 OPITZ BLVD",
"address_2": "SUITE 230",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913321",
"telephone_number": "703-490-5803",
"fax_number": "703-490-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJOGHLI",
"first_name": "MEHDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.