KHOSROW MEHRANY (M.D.) – Specialist, NPI 1235123142
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
117 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CA
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Provider Addresses for KHOSROW MEHRANY (M.D.)
64, Mariposa Avenue, Los Gatos, Santa Clara County, California, 95030, United States
LOS GATOS, CA 950304317
Phone: (209) 338-7758
Fax: (209) 554-0311
Type: Mailing
1130, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
SUITE 5B
MODESTO, CA 953554228
Phone: (209) 338-7758
Fax: (209) 554-0311
Type: Location
1729 TULLY RD STE 9
MODESTO, CA 953504081
Phone: (209) 338-7758
Fax: (209) 554-0311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041028000904 | I | Micrographic Dermatologic Surgery (Mds) | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 8,490 | 766 | $0 |
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 3,842 | 12 | $0 |
| Q4164 | Helicoll, per square centimeter | 3,278 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,447 | 820 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,315 | 822 | $0 |
Insurance plans in this area (ZIP 95030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 104 | 99 |
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