BAHGHI RUSSOM KEFLEZIGHI MD
NPI 1124210844
Family Medicine in San Diego, CA

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
4725 MARKET ST, SAN DIEGO, CA 92102(619) 515-2560 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2022, Oct 20, 2016 (2 updates tracked since 2016).

About Bahghi Russom Keflezighi Md NPPES

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

BAHGHI RUSSOM KEFLEZIGHI MD (NPI 1124210844) is an individual family medicine provider in San Diego, California, licensed in California (A100391) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124210844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBAHGHI RUSSOM KEFLEZIGHICredential: MD
Location Address4725 MARKET STSan Diego, CA 92102-4715
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 906-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 16, 2007
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1124210844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A100391
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4725 MARKET ST, San Diego, CA 92102

Secondary Practice Location 1

Location 1220 Euclid Avenue, Suite 40San Diego, CA 92114 · Phone (619) 515-2560 · Fax (619) 263-2499

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bahghi Russom Keflezighi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143380170
PECOS Enrollment IDI20081120000884
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers42 claims70 services$3.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers22 claims30 services$0.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4725 MARKET ST
SAN DIEGO, CA 92102
Dentist (General Practice)
4725 MARKET ST
SAN DIEGO, CA 92102
Family Medicine
4725 MARKET ST
SAN DIEGO, CA 92102
Family Medicine
4725 MARKET ST
SAN DIEGO, CA 92102
Physical Medicine & Rehabilitation (Sports Medicine)
4725 MARKET ST
SAN DIEGO, CA 92102
Optometrist
4725 MARKET ST
SAN DIEGO, CA 92102
Physician Assistant (Medical)
4725 MARKET ST
SAN DIEGO, CA 92102
Social Worker (Clinical)
4725 MARKET ST
SAN DIEGO, CA 92102

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 Bahghi Keflezighi's NPI number?

The NPI number for Bahghi Keflezighi is 1124210844. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Bahghi Keflezighi located?

Bahghi Keflezighi practices at 4725 Market St, San Diego, CA 92102. The listed phone number is (619) 515-2560.

What is Bahghi Keflezighi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bahghi Keflezighi enrolled in Medicare?

Yes. Bahghi Keflezighi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bahghi Keflezighi was last updated on December 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.