Mandana Mahmoodi, MD

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

233840 Issued in MA

Practice address

15 Crawford St Ste 100
Needham, MA 02494-2618

Phone

(617) 969-4100

NPI assigned

Oct 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Metroplex Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Coppell, TX
  • NPI 1942223029

  MA

  Medicare reassignment NPD
• Cohen Dermatopathology, P.C.

  • Clinical Medical Laboratory
  • Needham, MA
  • NPI 1477522910
  NPD
• Cohen Dermatopathology, P.C.

  • Anatomic Pathology Physician
  • Needham, MA
  • NPI 1770755456
  NPD

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1982892121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAWFORD ST STE 100",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942618",
            "telephone_number": "617-969-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODI",
        "first_name": "MANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MA",
            "license": "233840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787194",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M17162",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "800887",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Bachta, MD, PC
• Kendall Madison
• Philip M Madore, ATC
• Marc J Magier, DMD
• Neelabh Maheshwari, MD
• Megan Mahoney
• Rebecca Brenner Mahoney, M.S., CCC-SLP
• Morgan Malamud
• Samantha Arlene Malley, MSN, ARNP, FNP-C
• William Alvin Malsbury

• Dermatopathology (Pathology) Physician in Needham, MA
• Providers in Needham, MA by specialty
• Dermatopathology (Pathology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.