Active NPI
Albena D Baharieva, MD
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1063580520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036 103748
- Practice address
- 4824 E Baseline Rd
Suite 110
Mesa, AZ 85206-4676 - Phone
- (480) 582-1127
- Fax
- (480) 582-1128
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036 103748 | IL | Primary |
Addresses
Primary practice location
4824 E Baseline Rd
Suite 110
Mesa, AZ 85206-4676
Mailing address
4824 E Baseline Rd
Suite 110
Mesa, AZ 85206-4676
Phone (480) 582-1127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036 103748 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate North Side Health Network | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1063580520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 E BASELINE RD",
"address_2": "SUITE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852064676",
"telephone_number": "480-582-1127",
"fax_number": "480-582-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 E BASELINE RD",
"address_2": "SUITE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852064676",
"telephone_number": "480-582-1127",
"fax_number": "480-582-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHARIEVA",
"first_name": "ALBENA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036 103748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.