Individual provider Active NPI

Waheed S Baksh, MD, DPT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Winchester, VA
National Provider Identifier
1033393871
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25285 Issued in WV
Practice address
1839 West Plaza Drive
Winchester, VA 22601
Phone
(540) 773-2689
Fax
(540) 468-4166
NPI assigned
Dec 27, 2007
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 60267385 NY
Physical Medicine & Rehabilitation Physician 208100000X 068103 GA
Physical Medicine & Rehabilitation Physician 208100000X 0101254060 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101254060 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D0087846 MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25285 WV Primary
Pain Medicine Physician 208VP0000X 25285 WV
Physical Therapist 225100000X 029209 NY
Physical Therapist 225100000X NU

Addresses

Primary practice location

1839 West Plaza Drive
Winchester, VA 22601

Mailing address

1000 Tavern Rd
Suite 300
Martinsburg, WV 25401-2864
Phone (304) 263-6165

Other practice location 1

1000 Tavern Rd Ste 300
Martinsburg, WV 25401-2853
Phone (304) 263-6165

Other identifiers 3

IdentifierTypeStateIssuer
D0087846OtherMDMARYLAND BOARD OF PHYSICIANS
25285OtherWVWEST VIRGINIA BOARD OF MEDICINE
0101254060OtherVAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130805000726 VA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0042395675 Reassigns benefits to 1 organization
I20130923000816 WV Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0042395675 Reassigns benefits to 1 organization
I20200519001576 MD Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0042395675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Center of Virginia PLLCGroup PAC ID 6800167685, 2 clinicians

Practice addresses (Care Compare)

1000 Tavern Rd
Suite 300
Martinsburg, WV 25401-2853
Phone (304) 263-6165

1839 Plaza Dr
Winchester, VA 22601-6365
Phone (304) 263-6156

19638 Leitersburg Pike
Suite 204
Hagerstown, MD 21742-1518
Phone (304) 263-6165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068103GAMDPhysical Medicine & Rehabilitation Physician
60267385NYMDPhysical Medicine & Rehabilitation Physician
0101254060VAMDPhysical Medicine & Rehabilitation Physician
D0087846MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician
029209NYMDPhysical Therapist
029208NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Center of Virginia, PLLC Physical Medicine & Rehabilitation CurrentSince May 1, 2017 Accepting new patients
Pain Center of Virginia PLLC Physical Medicine & Rehabilitation Current Accepting new patients
Meridian Surgery Center LLC CurrentSince Mar 19, 2020 Accepting new patients
Page Memorial Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Pain Relief Centers Inc Past Accepting new patients
Pain Center of Virginia, PLLC Pain Medicine Past Accepting new patients
Pain Center of Virginia, PLLC Pain Medicine Past Accepting new patients

Locations

19638 Leitersburg Pike
Ste 204
Hagerstown, MD 21742
Phone (240) 850-3210

19638 Leitersburg Pike
Ste 205
Hagerstown, MD 21742
Phone (240) 850-3210

1839 Plaza Dr
Winchester, VA 22601
Phone (304) 263-6156

1000 Tavern Rd
Ste 300
Martinsburg, WV 25401
Phone (304) 263-6165

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGIJAD/Endpoint/DGIJAD

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1033393871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 300",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-263-6165",
            "fax_number": "304-263-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 WEST PLAZA DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-773-2689",
            "fax_number": "540-468-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Tavern Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "304-263-6165",
            "fax_number": "304-263-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKSH",
        "first_name": "WAHEED",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "60267385",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "068103",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101254060",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101254060",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0087846",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WV",
            "license": "25285",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WV",
            "license": "25285",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029209",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSICIANS",
            "identifier": "D0087846",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF MEDICINE",
            "identifier": "25285",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101254060",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.