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BOBAK HEDAYATI MD
NPI 1568090272
Dermatology - MOHS-Micrographic Surgery in Newport Beach, CA

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
5010 CAMPUS DR # 140, NEWPORT BEACH, CA 92660(949) 395-6221 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Mar 7, 2025, Mar 29, 2020 (3 updates tracked since 2020).

About Bobak Hedayati Md NPPES

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

BOBAK HEDAYATI MD (NPI 1568090272) is an individual mohs-micrographic surgery provider in Newport Beach, California, licensed in California (A176553) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendora, and is a graduate of University Of California, Irvine, California College Of Medicine (2020).

NPPES Registry Identity

NPI1568090272
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameBOBAK HEDAYATICredential: MD
Location Address5010 CAMPUS DR # 140Newport Beach, CA 92660-2120
Mailing Address5010 Campus Dr # 140Newport Beach, CA 92660-2120 · (949) 208-2498
Phone(949) 395-6221
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1568090272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · A176553
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.
5010 CAMPUS DR # 140, Newport Beach, CA 92660
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Secondary Practice Location 1

Location 1552 W Foothill Blvd Ste 202Glendora, CA 91741-2470 · Phone (626) 240-2020

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

Bobak Hedayati 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 ID8628431475
PECOS Enrollment IDI20250403003049
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 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

NEW WAVE DERMATOLOGY AND LASER
Dermatology (MOHS-Micrographic Surgery)
5010 CAMPUS DR # 140
NEWPORT BEACH, CA 92660
Orange County (949) 395-6221

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 Bobak Hedayati's NPI number?

The NPI number for Bobak Hedayati is 1568090272. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Bobak Hedayati located?

Bobak Hedayati practices at 5010 Campus Dr # 140, Newport Beach, CA 92660. The listed phone number is (949) 395-6221.

What is Bobak Hedayati's specialty?

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

Is Bobak Hedayati enrolled in Medicare?

Yes. Bobak Hedayati 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 Bobak Hedayati was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.