KHOSROW MEHRANY M D INC
NPI 1073721593
Dermatology - MOHS-Micrographic Surgery in Modesto, CA

Q: What is Khosrow Mehrany M D Inc's NPI number?

The NPI number for Khosrow Mehrany M D Inc is 1073721593. It was assigned to this organization in the NPPES registry on May 18, 2007.

Q: What is Khosrow Mehrany M D Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since May 18, 2007CLIA 05D1072821 · Certificate of Compliance

1729 TULLY RD STE 9, MODESTO, CA 95350(209) 338-7758(209) 554-0311 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2022, Sep 2, 2022, Jun 21, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Khosrow Mehrany M D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHOSROW MEHRANY M D INC (NPI 1073721593) is a healthcare organization registered as a mohs-micrographic surgery in Modesto, California and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 5, 2028 and lists Khosrow Mehrany, Owner Direction Md, as its authorized official.

NPPES Registry Identity

NPI1073721593

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameKHOSROW MEHRANY M D INC

Location Address1729 TULLY RD STE 9Modesto, CA 95350-4081

Mailing AddressPo Box 26310San Jose, CA 95159-6310 · (408) 335-3966 · Fax (408) 292-2345

Phone(209) 338-7758

Fax(209) 554-0311

Organization SubpartNo

Authorized OfficialKhosrow MehranyOwner Direction Md · (408) 603-6366

Enumeration DateMay 18, 2007

Last NPPES UpdateSeptember 7, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1073721593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

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.

1729 TULLY RD STE 9, Modesto, CA 95350

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khosrow Mehrany M D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Khosrow Mehrany M D Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khosrow Mehrany, M.D.

Micrographic Dermatologic Surgery (MDS)

NPI 1235123142

1729 TULLY RD STE 9
Modesto, CA 95350

(209) 338-7758

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1072821

Khosrow Mehrany, MD Inc · San Jose, CA

Active · expires Aug 5, 2028

CLIA Number05D1072821

Laboratory TypePhysician Office

Certificate Effective DateAugust 6, 2026

Certificate Expiration DateAugust 5, 2028

Laboratory DirectorKhosrow Mehrany

Laboratory Phone(408) 335-3966

Laboratory LocationKhosrow Mehrany, MD Inc219 Meridian Ave, San Jose, CA 95126

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khosrow Mehrany M D Inc's NPI number?

The NPI number for Khosrow Mehrany M D Inc is 1073721593. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Khosrow Mehrany M D Inc located?

Khosrow Mehrany M D Inc is located at 1729 Tully Rd Ste 9, Modesto, CA 95350. The listed phone number is (209) 338-7758.

What is Khosrow Mehrany M D Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Khosrow Mehrany M D Inc enrolled in Medicare?

Yes. Khosrow Mehrany M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Khosrow Mehrany M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Micrographic Dermatologic Surgery (MDS)) reassigns their Medicare billing to Khosrow Mehrany M D Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Khosrow Mehrany M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1072821) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khosrow Mehrany M D Inc was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.