DR. MAZDAK A KHALIGHI (M.D.) – Anatomic Pathology Physician, NPI 1104052653
Anatomic Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
159 PATHOLOGY in UT
Provider Addresses for DR. MAZDAK A KHALIGHI (M.D.)
417 S WAKARA WAY
SALT LAKE CITY, UT 841081436
Phone: (801) 581-2955
Fax: (801) 587-6346
Type: Location
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972393011
Phone: (503) 494-8276
Fax: (503) 494-2025
Type: Mailing
PO BOX 841052
LOS ANGELES, CA 900841052
Phone:
Type: Mailing
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: 2014-12-02
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 |
|---|---|---|---|---|
| I20141202001860 | I | Pathology | UT | 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 |
|---|---|---|---|---|
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 1,709 | 325 | $0 |
| 83516 | Analysis of substance using immunoassay technique, multiple step method | 400 | 131 | $0 |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 374 | 326 | $0 |
| 86256 | Measurement of antibody to noninfectious agent | 82 | 37 | $0 |
Insurance plans in this area (ZIP 84108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | UT | 88342 | Tissue or cell analysis by immunologic technique | 24 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | PA | |
| - | UT | |
| D E R M A T O L O G Y | UT |
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