NPIMap

Individual provider Active NPI

Khaled Bachour

  • Cardiovascular Disease Physician
  • Farrell, PA
National Provider Identifier
1053593699
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD433256 Issued in PA
Practice address
2000 Memorial Dr
Suite B
Farrell, PA 16121-1366
Phone
(724) 981-6810
NPI assigned
Dec 5, 2007
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD433256 PA Primary

Addresses

Primary practice location

2000 Memorial Dr
Suite B
Farrell, PA 16121-1366

Mailing address

2 Hot Metal Street
Quantum One
Pittsburgh, PA 15203-2348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khaled.bachour@upmcdirect.com UPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000195 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476624099 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians

Practice addresses (Care Compare)

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565

824 Main St
Suite 306
Phoenixville, PA 19460-4478
Phone (610) 983-1530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2008 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
University of Pittsburgh Physicians Cardiovascular Disease CurrentSince Jul 1, 2008 Accepting new patients
Tower Health Medical Group Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince May 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 983-1941

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 1120
West Reading, PA 19611
Phone (484) 628-0580

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 2020
West Reading, PA 19611

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

1320 Broadcasting Rd
Ste 107
Wyomissing, PA 19610
Phone (484) 628-0319

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 12

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 8

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1053593699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL STREET",
            "address_2": "QUANTUM ONE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "FARRELL",
            "state": "PA",
            "postal_code": "161211366",
            "telephone_number": "724-981-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHOUR",
        "first_name": "KHALED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD433256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khaled.bachour@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farrell, PA

Sources for this page

Verify at the official NPI Registry.