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MUSTAFA MAHDAVY MD INC
NPI 1467041442
Pathology - Anatomic Pathology & Clinical Pathology in Hemet, CA

Active since January 13, 2021
1117 E DEVONSHIRE AVE, HEMET, CA 92543(805) 250-9233(805) 578-3911 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mustafa Mahdavy Md Inc NPPES

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

MUSTAFA MAHDAVY MD INC (NPI 1467041442) is a healthcare organization registered as an anatomic pathology & clinical pathology in Hemet, California and active in the NPI registry since January 2021. The organization lists Mustafa Mahdavy, Owner, as its authorized official.

NPPES Registry Identity

NPI1467041442
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMUSTAFA MAHDAVY MD INC
Location Address1117 E DEVONSHIRE AVEHemet, CA 92543-3083
Mailing Address1117 E Devonshire AveHemet, CA 92543-3083 · (501) 960-4848
Phone(805) 250-9233
Fax(805) 578-3911
Organization SubpartNo
Authorized OfficialMustafa MahdavyOwner · (501) 960-4848
Enumeration DateJanuary 13, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1467041442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1117 E DEVONSHIRE AVE, Hemet, CA 92543
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mustafa Mahdavy Md 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 Mustafa Mahdavy MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mustafa Mahdavy, M.D.
Pathology
NPI 1932296340
1117 E. DEVONSHIRE AVE. DEPARTMENT OF PATHOLOGY
Hemet, CA 92543
(985) 789-7994
✔ 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.

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 Mustafa Mahdavy MD Inc's NPI number?

The NPI number for Mustafa Mahdavy MD Inc is 1467041442. It was assigned to this organization in the NPPES registry on January 13, 2021.

Where is Mustafa Mahdavy MD Inc located?

Mustafa Mahdavy MD Inc is located at 1117 E Devonshire Ave, Hemet, CA 92543. The listed phone number is (805) 250-9233.

What is Mustafa Mahdavy MD Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mustafa Mahdavy MD Inc enrolled in Medicare?

Yes. Mustafa Mahdavy MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mustafa Mahdavy MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Mustafa Mahdavy MD 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.

When was this NPI record last updated?

The NPPES record for Mustafa Mahdavy MD Inc was last updated on March 28, 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.