Individual provider Active NPI

John Roy Bahling, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Gainesville, FL
National Provider Identifier
1205018546
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
ME169570 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 265-5911
NPI assigned
Nov 28, 2007
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301088989 MI
Pediatrics Physician 208000000X 35099973 OH
Pediatrics Physician 208000000X ME169570 FL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35099973 OH
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME169570 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

4600 Mueller Blvd. #1084
Austin, TX 78723
Phone (614) 722-4384

Other practice location 1

4900 Mueller
Emergency Department
Austin, TX 78723
Phone (512) 324-0150

Other identifiers 1

IdentifierTypeStateIssuer
123286800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KS, OH, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080903000267 MI Practitioner - Emergency Medicine 0547336307 Reassigns benefits to 2 organizations
I20171031002819 KS Practitioner - Pediatric Medicine 0547336307 Reassigns benefits to 2 organizations
I20220818002707 OH Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0547336307 Reassigns benefits to 1 organization
I20240818000026 FL Practitioner - Emergency Medicine 0547336307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169570FLMDPediatric Emergency Medicine (Pediatrics) Physician
35099973OHMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Aug 9, 2024 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 9, 2024 Accepting new patients
Emergency Medicine Services of KS, PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hurley Medical Center CurrentSince Mar 28, 2018 Accepting new patients
Hurley Medical Center Emergency Medicine CurrentSince Mar 28, 2018 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine PastSince Mar 21, 2021 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
Rm Physicians
Flint, MI 48503
Phone (810) 262-9429

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Interoperability endpoints

  • Direct secure messaging: jbahling67626@direct.hurleymc.com
  • Direct secure messaging: jbahling726201@direct.shands.ufl.edu
  • Direct secure messaging: john.bahling@direct.myhealthep.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1205018546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MUELLER BLVD. #1084",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "614-722-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-5911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Mueller",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78723",
            "country_code": "US",
            "telephone_number": "512-324-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHLING",
        "first_name": "JOHN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301088989",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35099973",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME169570",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35099973",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME169570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123286800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.