Individual provider Active NPI

Neda Mehr, M.D.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1841432861
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A105012 Issued in CA
Practice address
500 Superior Ave
Ste 335
Newport Beach, CA 92663-3657
Phone
(949) 706-1469
Fax
(949) 706-7307
NPI assigned
Apr 6, 2009
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A105012 CA Primary

Addresses

Primary practice location

500 Superior Ave
Ste 335
Newport Beach, CA 92663-3657

Mailing address

500 Superior Ave
Ste 335
Newport Beach, CA 92663-3657
Phone (949) 706-1469

Other identifiers 1

IdentifierTypeStateIssuer
FL665XOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20111013000206 CA Practitioner - Dermatology 9739351867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Pure DermatologyGroup PAC ID 7416192323, 7 clinicians

Practice addresses (Care Compare)

500 Superior Ave
Suite 335
Newport Beach, CA 92663-3681
Phone (949) 706-1469

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions65
Removal of skin cancer1-10
Removal or shaving of skin growth11
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Pure Dermatology CurrentSince Aug 30, 2020 Accepting new patients
Pure Dermatology Dermatology CurrentSince Jan 14, 2013 Accepting new patients
South Coast Dermatology Institute, a Medical Corporation Dermatology PastSince Oct 1, 2018 Accepting new patients
J Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

500 Superior Ave
Ste 335
Newport Beach, CA 92663
Phone (949) 706-1469

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1841432861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHR",
        "first_name": "NEDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A105012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FL665X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.