Active NPI
Duke K Bahn, MD
- Diagnostic Radiology Physician
- Ventura, CA
National Provider Identifier
1174579700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C50752
- Practice address
- 168 N Brent St
#402
Ventura, CA 93003-2817 - Phone
- (888) 234-0004
- Fax
- (888) 641-3965
- NPI assigned
- May 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C50752 | CA | Primary |
Addresses
Primary practice location
168 N Brent St
#402
Ventura, CA 93003-2817
Mailing address
5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801
Other practice location 1
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50752 | CA | MD | Pharmacist |
| C50752 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bahn Consulting Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Rochester Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Community Imaging Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Ventura, CA
- NPI 1306098751
-
- Diagnostic Radiology Physician
- Ventura, CA
- NPI 1639125628
-
- Diagnostic Radiology Physician
- Rochester, MI
- NPI 1265457931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1174579700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 OLIVAS PARK DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037672",
"telephone_number": "805-667-2801",
"fax_number": "805-667-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N BRENT ST",
"address_2": "#402",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032817",
"telephone_number": "888-234-0004",
"fax_number": "888-641-3965"
}
],
"practiceLocations": [
{
"address_1": "147 N Brent St",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930032809",
"country_code": "US",
"telephone_number": "805-652-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAHN",
"first_name": "DUKE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C50752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.