Individual provider Active NPI

Syed Asad Hassan Bokhari, M.D.

  • Child & Adolescent Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1144243924
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D64604 Issued in MD
Practice address
3800 Frederick Ave
Baltimore, MD 21229-3618
Phone
(410) 233-1400
Fax
(410) 233-1666
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D64604 MD Primary

Addresses

Primary practice location

3800 Frederick Ave
Baltimore, MD 21229-3618

Mailing address

12121 Old Frederick Rd
Marriottsville, MD 21104-1409
Phone (410) 465-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070308000222 MD Practitioner - Psychiatry 7214030402 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 3, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jan 3, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chesapeake Treatment Centers Past Accepting new patients
Maryland Treatment Centers, Inc. Child & Adolescent Psychiatry Past Accepting new patients

Locations

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

2101 E Jefferson St
Ste 6
Rockville, MD 20852

2101 E Jefferson St
#4E
Rockville, MD 20852

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1144243924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 OLD FREDERICK RD",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041409",
            "telephone_number": "410-465-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293618",
            "telephone_number": "410-233-1400",
            "fax_number": "410-233-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "SYED",
        "middle_name": "ASAD HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D64604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.