DR. MAHRA NOURBAKHSH (MD) – Anatomic Pathology Physician, NPI 1407407901

DR. MAHRA NOURBAKHSH (MD) is a healthcare provider. based in Irvine, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. A168689 (CA). The NPI Number for DR. MAHRA NOURBAKHSH (MD) is 1407407901

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAHRA NOURBAKHSH (MD)
NPI
1407407901
Phone
(858) 668-8491
Address
401 ROCKEFELLER UNIT B1113
Enumeration Date
25 September 2019
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567004
Graduation Year
2002 (24 years ago)
PAC ID
9931500287
Group Practice PAC ID
1951201185
Professional Enrollment ID
I20210624002013
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,584 PATHOLOGY in CA

Provider Addresses for DR. MAHRA NOURBAKHSH (MD)

  • 401 ROCKEFELLER UNIT B1113

    IRVINE, CA 926127179

    Phone: (858) 668-8491

    Type: Mailing

  • 101 THE CITY DR S RM 3003

    ORANGE, CA 928683201

    Phone: (714) 456-6141

    Type: Location

  • 620, West 42nd Street, Hell's Kitchen, Manhattan Community Board 4, Manhattan, New York County, New York, 10036, United States

    NEW YORK, NY 100362014

    Phone: (858) 668-8491

    Type: Mailing

  • Memorial Sloan Kettering Cancer Center, 1275, York Avenue, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10065, United States

    NEW YORK, NY 100656007

    Phone: (212) 639-8145

    Type: Location

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 880-7812

    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: 2021-06-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210624002013IPathologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,143519$0
88341Special stained specimen slides to examine tissue, each additional procedure536102$0
88342Special stained specimen slides to examine tissue, initial procedure164135$0
88177Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode13547$0
88112Cell examination of specimen, selective cellular enhancement technique10397$0
View full utilization report →

Insurance plans in this area (ZIP 92612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951201185View full group profile
NameSpecialtyState
-CA
Hematology, PathologyCA
-CA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YCA
P A T H O L O G YCA

Reviews

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Frequently asked questions

How do I look up DR. MAHRA NOURBAKHSH (MD) by NPI?
Use NPI 1407407901 when you need to reference DR. MAHRA NOURBAKHSH (MD) in forms, claims, or directories.
Is DR. MAHRA NOURBAKHSH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MAHRA NOURBAKHSH (MD) work in?
You can think of DR. MAHRA NOURBAKHSH (MD) as practicing within Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MAHRA NOURBAKHSH (MD)?
We surface Irvine, California for DR. MAHRA NOURBAKHSH (MD) based on available NPPES addresses.
Is DR. MAHRA NOURBAKHSH (MD) a real provider?
This page reflects official NPPES data for NPI 1407407901. Always confirm identity and privileges with the practice and licensing boards.

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