NPIMap

Individual provider Active NPI

Shahab Zare Bavani, M.D.

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1326061672
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0064874 Issued in MD
Practice address
7300 Van Dusen Rd
Laurel, MD 20707-9463
Phone
(410) 730-7440
Fax
(414) 073-0747
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0064874 MD Primary

Addresses

Primary practice location

7300 Van Dusen Rd
Laurel, MD 20707-9463

Mailing address

10724 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3249
Phone (410) 997-5944

Other identifiers 1

IdentifierTypeStateIssuer
6800MedicaidMD

Other names 1

  • Shahab Zare Bawani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000480 MD Practitioner - HospitalistPractitioner - Internal Medicine 4082611520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064874MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Columbia Patient Care Associates, LLC Internal Medicine CurrentSince Sep 23, 2011 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jan 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine Past Accepting new patients
Howard County General Hospital, Inc, Past Accepting new patients
Pulmonary Disease and Critical Care Associates, PA., Past Accepting new patients
Skanumuru, LLC Past Accepting new patients
Pulmonary Disease and Critical Care Associates, P.a. Past Accepting new patients
Patuxent Hospitalists LLC Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

11085 Little Patuxent Pkwy
Ste L1
Columbia, MD 21044
Phone (301) 575-4755

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: sbavani52959@direct.hopkinsmedicine.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1326061672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 LITTLE PATUXENT PKWY STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443249",
            "telephone_number": "410-997-5944",
            "fax_number": "410-997-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "410-730-7440",
            "fax_number": "414-073-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVANI",
        "first_name": "SHAHAB",
        "middle_name": "ZARE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0064874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHAB",
            "last_name": "BAWANI",
            "middle_name": "ZARE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.