Active NPI
Yahya Bakdalieh, MD
- Physical Medicine & Rehabilitation Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35.090651
- Practice address
- 3025 Gull Rd
Kalamazoo, MI 49048-1281 - Phone
- (269) 552-2225
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35.090651 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301075956 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35.090651 | OH | Primary |
Addresses
Primary practice location
3025 Gull Rd
Kalamazoo, MI 49048-1281
Mailing address
6347 Sitka Spruce St
Portage, MI 49024-9031
Phone (269) 779-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200265770A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2945 Maple Ave
Zanesville, OH 43701-1762
Phone (740) 454-4712
Hospital & facility affiliations
- Genesis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group LLC | Pain Medicine | Current | Accepting new patients |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Genesis Healthcare System | Past | Accepting new patients |
Locations
646 Chestnut St
Coshocton, OH 43812
Phone (740) 622-3370
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
2945 Maple Ave
Zanesville, OH 43701
Phone (740) 454-0158
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167
2945 Maple Ave
Ste 2B
Zanesville, OH 43701
Phone (740) 454-4712
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
- Primary Care Clinic/Center
- New Lexington, OH
- NPI 1942503099
-
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1184435414
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1154416659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6347 SITKA SPRUCE ST",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490249031",
"telephone_number": "269-779-8985",
"fax_number": "620-231-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481281",
"telephone_number": "269-552-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKDALIEH",
"first_name": "YAHYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35.090651",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301075956",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35.090651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200265770A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.