Ossama Bahgat, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

030846 Issued in CT

Practice address

816 Broad St
BLD 1 Unit 21
Meriden, CT 06450

Phone

(203) 237-9326

Fax

(203) 634-0113

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ossama.bahgat@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1285701045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "address_2": "BLD 1 UNIT 21",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-237-9326",
            "fax_number": "203-634-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "address_2": "BLD 1 UNIT 21",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-237-9326",
            "fax_number": "203-634-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHGAT",
        "first_name": "OSSAMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "030846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001308461",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Auyang
• B.E.K Eyecare, Inc
• Michael Backman, FNP
• Catherine Bose Badru, NP
• Ahmad Jamal Badwan, PHARM.D., RPH
• Bailey Health LLC
• Jacqueline Baker, APRN
• Jeremiah Peter Baker, LCSW
• Andrea Ball, RN
• Jackie Balzer, DPT

• All providers in Meriden, CT
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.