Individual provider Active NPI

Bahman Sholevar, MD

  • Psychiatry Physician
  • Orwigsburg, PA
National Provider Identifier
1073550802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD019943E Issued in PA
Practice address
340 S Liberty St
Orwigsburg, PA 17961-2127
Phone
(570) 366-5096
Fax
(570) 366-8755
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD019943E PA Primary

Addresses

Primary practice location

340 S Liberty St
Orwigsburg, PA 17961-2127

Mailing address

500 Office Center Dr
Suite 100
Ft Washington, PA 19034-3219
Phone (215) 540-2150

Other identifiers 1

IdentifierTypeStateIssuer
0019213270003MedicaidPA

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

LicenseStateTypeSpecialty
MD019943EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Services Inc PastSince May 22, 2002 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073550802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR",
            "address_2": "SUITE 100",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343219",
            "telephone_number": "215-540-2150",
            "fax_number": "215-540-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S LIBERTY ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612127",
            "telephone_number": "570-366-5096",
            "fax_number": "570-366-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLEVAR",
        "first_name": "BAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD019943E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019213270003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.