Khashayar Dehghan, M.D., PHD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD00047758 Issued in WA

Practice address

3515 S 15TH St
Suite 101
Tacoma, WA 98405-1952

Phone

(253) 756-0933

Fax

(253) 759-6553

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Saint Louis University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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.

• Artistic Plastic Surgery Center PLLC

  dba Artistic Plastic Surgery Center

  • Plastic Surgery Physician
  • Tacoma, WA
  • NPI 1457412017
  Medicare reassignment NPD
• Michael E Beatty, M.D., P.C.

  dba Southwestern Illinois Plastic & Hand Surgery

  • Specialist
  • Edwardsville, IL
  • NPI 1881759991
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1801801659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051952",
            "telephone_number": "253-756-0933",
            "fax_number": "253-759-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051952",
            "telephone_number": "253-756-0933",
            "fax_number": "253-759-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHGHAN",
        "first_name": "KHASHAYAR",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00047758",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "WA",
            "license": "MD00047758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Degray Dialysis
• Rebecca Degroot
• Fernando Francisco Deguzman, M.D.
• Helen Leung Dehaan, PHARMD
• Preston John Dehan
• Richard Dehlinger, MD
• Douglas Anthony Dejoe
• Ketrah Dekanich
• Monica Srieng Del Angel
• Crisida Dela Cruz-Yaya

• Plastic and Reconstructive Surgery Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.