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BISHR AL DABAGH MD NPI 1154565661


NPI Information

NPI: 1154565661
Provider Name: BISHR AL DABAGH, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: BOLD CITY DERMATOLOGY LLC

PECOS Registration: Yes

Address:
118 GATEWAY BLVD STE A
MOORESVILLE, NC
ZIP 28117
Phone: (704) 230-1302
Get Directions

Bishr Al Dabagh, MD is a mohs-micrographic surgery dermatology in Mooresville, NC with 15 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Bishr Al Dabagh, MD NPI is 1154565661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2009

The provider's business location address is:

118 GATEWAY BLVD STE A
MOORESVILLE, NC
ZIP 28117-542
Phone: (704) 230-1302

The NPI 1154565661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 4/28/2009 and was last updated on 5/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD17679HAWAIINo
2207N00000XDermatology4301106561MICHIGANNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryMD17679HAWAIINo
4207ND0101XDermatologyMOHS-Micrographic Surgery4301106561MICHIGANNo
5207ND0101XDermatologyMOHS-Micrographic Surgery49483ARIZONANo
6207NS0135XDermatologyProcedural DermatologyA125540CALIFORNIANo
7207ND0101XDermatologyMOHS-Micrographic Surgery2019-01570NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.