Individual provider Active NPI

Babak Behta, MD

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1023075090
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD071238-L Issued in PA
Practice address
1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128
Phone
(717) 960-8956
NPI assigned
Apr 26, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD071238-L PA Primary

Addresses

Primary practice location

1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128

Mailing address

1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128

Other practice location 1

6060 Ridge Ave Ste 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

Other practice location 2

13707 SW 152nd St
Miami, FL 33177
Phone (305) 585-9200

Other identifiers 1

IdentifierTypeStateIssuer
001799276MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000358 PA Practitioner - Family Practice 7113923285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD071238-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 14, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1533 Commerce Ave
Ste 2
Carlisle, PA 17015
Phone (717) 796-9300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1023075090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE AVE STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE AVE STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159128",
            "telephone_number": "717-960-8956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 Ridge Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191281659",
            "country_code": "US",
            "telephone_number": "215-999-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13707 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "305-585-9200",
            "fax_number": "305-355-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHTA",
        "first_name": "BABAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071238-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001799276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.