MAMAD MIRZA BAGHERI MD NPI 1467560201

NPI Information

  • NPI: 1467560201
  • Provider Name: MAMAD MIRZA BAGHERI, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • Address: 4327 BARNETT RD
    WICHITA FALLS, TX
    ZIP 76310
  • Phone: (940) 687-3376

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NPI Details

Mamad Mirza Bagheri, MD is a mohs-micrographic surgery dermatology in Wichita Falls, TX. 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. Mamad Mirza Bagheri, MD NPI is 1467560201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4327 BARNETT RD
WICHITA FALLS, TX
ZIP 76310-303
Phone: (940) 687-3376
Fax: (940) 687-3377

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 precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Novachor, per square centimeter (HCPCS:Q4194)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Biopsy of ear (HCPCS:69100)
  • Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11601)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of eyelid (HCPCS:67810)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Biopsy of lip (HCPCS:40490)

The enumeration date for this NPI number is 8/29/2006 and was last updated on 11/10/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryQ1792TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127619OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
200A824060MEDICARE PINCALIFORNIA
3686405000OTHERMINNESOTADEPT OF HUMAN SERVICES
4DF1942OTHERCALIFORNIARAILROAD MEDICARE GROUP
5A82406OTHERCALIFORNIACA STATE MED LICENSE
6P00390315OTHERNORTH DAKOTARAILROAD MEDICARE
700A824061MEDICARE PINCALIFORNIA
8P00346003OTHERCALIFORNIARAILROAD MEDICARE
9H89143MEDICARE UPINCALIFORNIA
1014037MEDICAIDNORTH DAKOTA
11ZZZ30167ZOTHERCALIFORNIAMEDICARE NHIC
1200A824062MEDICARE PINCALIFORNIA
13712342MEDICARE PINNORTH DAKOTA
14006759477OTHERAETNA
15154H3BAOTHERNORTH DAKOTABC BS MINNESOTA

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: 11/21/2025

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