Active NPI
Jessica N Bahari-Kashani, M.D.
- Radiation Oncology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME 112015
- Practice address
- 7015 A C Skinner Pkwy
Building 100
Jacksonville, FL 32256-6932 - Phone
- (904) 516-3737
- Fax
- (904) 516-3738
- NPI assigned
- Jun 10, 2008
- Last updated
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A106637 | CA | |
| Radiation Oncology Physician | 2085R0001X | ME 112015 | FL | Primary |
Addresses
Primary practice location
7015 A C Skinner Pkwy
Building 100
Jacksonville, FL 32256-6932
Mailing address
7751 Belfort Pkwy Ste 350
Jacksonville, FL 32256-6951
Phone (904) 363-2113
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14L6D | Other | FL | BCBSFL |
| 354874 | Other | FL | AVMED |
| 005951700 | Medicaid | FL |
Other names 1
- Jessica N Bahari
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Radiation Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7015 A C Skinner Pkwy
BLDG 100
Jacksonville, FL 32256-6932
Phone (904) 516-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106637 | CA | MD | Radiation Oncology Physician |
| ME 112015 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Specialists, LLC | Radiation Oncology | Current | Accepting new patients |
| Cancer Specialists, LLC | Current | Accepting new patients | |
| Integrated Community Oncology Network LLC | Radiation Oncology | Past | Accepting new patients |
| Integrated Community Oncology Network LLC | Past | Accepting new patients | |
| Integrated Community Oncology Network LLC | Radiation Oncology | Past | Accepting new patients |
Locations
2 Shircliff Way
Ste 800
Jacksonville, FL 32204
Phone (904) 388-2619
5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779
7015 A C Skinner Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 516-3737
7015 A C Skinner Pkwy
Ste 1
Jacksonville, FL 32256
Phone (904) 363-2113
7751 Belfort Pkwy
Ste 350
Jacksonville, FL 32256
Phone (904) 363-7453
600 Zeagler Dr
Ste 1
Palatka, FL 32177
Phone (386) 325-8140
Interoperability endpoints
- jbaharikashani744169@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cancer Specialists of North Florida
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1528323268
Radiation Oncology
-
dba Florida Radiation Oncology Group
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1043230402
-
dba Florida Radiation Oncology Group
- Diagnostic Radiology Physician
- Orange Park, FL
- NPI 1548295850
-
dba Florida Radiation Oncology Group
- Radiation Oncology Physician
- Jacksonville Beach, FL
- NPI 1760417042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1225298631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 BELFORT PKWY STE 350",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566951",
"telephone_number": "904-363-2113",
"fax_number": "904-363-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 A C SKINNER PKWY",
"address_2": "BUILDING 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566932",
"telephone_number": "904-516-3737",
"fax_number": "904-516-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHARI-KASHANI",
"first_name": "JESSICA",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A106637",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME 112015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "14L6D",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "354874",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005951700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BAHARI",
"middle_name": "N",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.