Mehdi Balakhani, M.D., D.D.S., PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

1989021553 Issued in DE

Legal business name

MEHDI BALAKHANI, M.D., D.D.S., PA

Practice address

2319 Pennsylvania Ave
Wilmington, DE 19806-1318

Phone

(302) 368-8900

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa A Tompkins

Title

Accounts Manager

Phone

(302) 368-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehdi Balakhani, M.D., D.D.S., PA

  • Specialist
  • Newark, DE
  • NPI 1831194224
  Medicare reassignment

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1891026720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "address_2": "MAP # 1, SUITE 226",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-368-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 PENNSYLVANIA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061318",
            "telephone_number": "302-368-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI BALAKHANI, M.D., D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "302-368-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "1989021553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000163102",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita S. Meek, MD
• Meet Me at the Well
• Megan E. F. White, LLC
• Megken Consulting LLC
• Gerald Thomas Mehalick, D.O.
• Laura M. Mehta, APN
• Sejal D Mehta
• Heidi P Meikle, COTA/L
• Mayda Melendez, MD
• Ana Melikishvili, M.D.

• Plastic Surgery Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Plastic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.