Bahm Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

109044 Issued in MO

Legal business name

BAHM FAMILY MEDICINE LLC

Practice address

2880 Netherton Dr Ste 200
Saint Louis, MO 63136-4697

Phone

(314) 355-5300

Fax

(314) 521-4656

NPI assigned

May 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Akinrinola Fatoki, MDNPI 1346354693

Title

Member

Phone

(314) 355-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akinrinola Fatoki, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1346354693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1184839136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4204",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630064204",
            "telephone_number": "314-355-5300",
            "fax_number": "314-521-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364697",
            "telephone_number": "314-355-5300",
            "fax_number": "314-521-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHM FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "FATOKI",
        "authorized_official_first_name": "AKINRINOLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-355-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "109044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208030767",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mechelle Bagy, COTA/L
• Fatmata Bah, MD
• Madhu Bahl, M.D.
• Mona Bahl, M.D.
• Om P Bahl, M.D.
• Amy Frances Bahmani, M.S. CCC/SLP
• Paula Bahn
• Amanda Bahr
• Stephanie Bahr
• David Bahre

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.