Baharak Bagheri, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

45040 Issued in AZ

Practice address

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273

Phone

(623) 847-2000

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN, ME, AZ, HI4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Radiology Associates PLLCGroup PAC ID 8224002696, 25 clinicians

Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miller County Hospital Hospital, Colquitt, GA, CCN 111305
• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
• Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
• Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
• Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 96)

Interoperability endpoints

• Direct secure messaging: dr_baharak_bagheri_--_radiologist@yourcarecommunity.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

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

• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  AZ, HI

  Medicare reassignment Care Compare group NPD
• Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1013960657

  AZ

  Medicare reassignment Care Compare group NPD
• Associated Valley Radiologists LTD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1932683257

  HI

  Medicare reassignment NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891
  Medicare reassignment NPD
• Banner Imaging Services LLC

  • Diagnostic Radiology Physician
  • Sun City, AZ
  • NPI 1770139958
  Medicare reassignment NPD
• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, HI

  Medicare reassignment NPD
• Jason L Hwang MD Inc

  • Diagnostic Radiology Physician
  • Sonora, CA
  • NPI 1811486616

  AZ

  Medicare reassignment NPD
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Medicare reassignment NPD
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Medicare reassignment NPD
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1710372909

  AZ

  Medicare reassignment NPD
• South Florida Medical Imaging, PA

  • Diagnostic Radiology Physician
  • Ft Lauderdale, FL
  • NPI 1518945575

  AZ

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amisub of South Carolina, Inc.

  • General Acute Care Hospital
  • Rock Hill, SC
  • NPI 1457382483
  Care Compare affiliation
• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250
  Care Compare affiliation
• Prime Healthcare Foundation - Southern Regional, LLC

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1154795581
  Care Compare affiliation
• The Hospital Authority of Miller County

  • Critical Access Hospital
  • Colquitt, GA
  • NPI 1114085297
  Care Compare affiliation
• West Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1033379151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROAD ST",
            "address_2": "APT #8",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044018305",
            "telephone_number": "218-760-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "623-847-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-8305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 S Cascade St",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565372913",
            "country_code": "US",
            "telephone_number": "218-736-8000",
            "fax_number": "218-739-6718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "BAHARAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "50759",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "018430",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "45040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641184",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelcee Ann Bacon, OT
• Kyle Eric Badman
• Lisa Baer
• Rajesh K Bagai, MD
• Gregg Robert Bagdade, LPC
• Douglas George Bailes, DO
• Candace Kay Bailey, MSW LCSW
• Craig Bailey, PT, DPT
• Emily Brooke Bailey, PHARMD
• Jaime Bailey, RPH

• Diagnostic Radiology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.