Ofelia A Bacani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD036604L Issued in PA

Practice address

350 Macdade Blvd
Collingdale, PA 19023-1924

Phone

(610) 586-2599

Fax

(610) 586-3010

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Azad Khan M.D P.C

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1346442290
  NPD (past)
• Lima Gerontology Associates LLP

  • Internal Medicine Physician
  • Lima, PA
  • NPI 1013967645
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1326032087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MACDADE BLVD",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190231924",
            "telephone_number": "610-586-2599",
            "fax_number": "610-586-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MACDADE BLVD",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190231924",
            "telephone_number": "610-586-2599",
            "fax_number": "610-586-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACANI",
        "first_name": "OFELIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036604L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036604L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0767438",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aviva Mental Health Services (Aviva Mental Health Services, Inc)
• Aviva Mental Health Services Inc
• Aviva Mental Health Services Inc
• Aviva Mental Health Services Inc
• Aviva Mental Health Services Inc
• Alimatu Bangura
• Fatima Binta Barrie I, CEO OF FATSAN
• Mets Bennett
• Jeffane Bernardin
• Bernie's Healthcare Services LLC

• Internal Medicine Physician in Collingdale, PA
• Providers in Collingdale, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.