Individual provider Active NPI

Gregory A Bahtiarian, DO

  • Family Medicine Physician
  • Juno Beach, FL
National Provider Identifier
1295738250
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19663 Issued in FL
Practice address
700 Universe Blvd
Juno Beach, FL 33408-2657
Phone
(561) 694-6212
Fax
(888) 873-9708
NPI assigned
May 24, 2005
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS19663 FL Primary
Family Medicine Physician 207Q00000X C20005296 DE

Addresses

Primary practice location

700 Universe Blvd
Juno Beach, FL 33408-2657

Mailing address

4565 Artesa Way S
Palm Beach Gardens, FL 33418-6790
Phone (302) 542-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040123000223 DE Practitioner - Family Practice 2264334986
I20230914000819 FL Practitioner - Family Practice 2264334986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20005296DEMDFamily Medicine Physician
OS19663FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Oct 30, 2023 Accepting new patients
Premise Health of Florida Medical PA PastSince Nov 24, 2024 Accepting new patients
Bayside Health Association Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

333 Tamiami Trl S
Ste 102
Venice, FL 34285
Phone (941) 234-1288

Interoperability endpoints

  • Direct secure messaging: gregory.bahtiarian.1@26697.direct.athenahealth.com
  • Direct secure messaging: gregorybahtiarian@mafp.allscriptsdirect.net

Organizations & group practices 4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1295738250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 ARTESA WAY S",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186790",
            "telephone_number": "302-542-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSE BLVD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082657",
            "telephone_number": "561-694-6212",
            "fax_number": "888-873-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHTIARIAN",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19663",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20005296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.