Individual provider Active NPI

Bahram Chehrazi, M.D., F.A.C.S.

  • Neurological Surgery Physician
  • Roseville, CA
National Provider Identifier
1346226685
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G38223 Issued in CA
Practice address
1301 Secret Ravine Parkway
Suite 200
Roseville, CA 95661
Phone
(916) 771-3300
Fax
(916) 771-3443
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G38223 CA Primary

Addresses

Primary practice location

1301 Secret Ravine Parkway
Suite 200
Roseville, CA 95661

Mailing address

1301 Secret Ravine Parkway
Suite 200
Roseville, CA 95661
Phone (916) 771-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000454 CA Practitioner - Neurosurgery 4385603489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, San Francisco School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B Barry Chehrazi MD IncGroup PAC ID 9032178124, 3 clinicians
Emergency Neurosurgery Services Medical Group IncGroup PAC ID 8527102532, 2 clinicians

Practice addresses (Care Compare)

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3096
Phone (916) 773-8700

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3102
Phone (916) 771-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38223CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Neurosurgery Services Medical Group, Inc. CurrentSince Dec 1, 2009 Accepting new patients
B Barry Chehrazi MD Inc Neurological Surgery CurrentSince Jan 20, 2004 Accepting new patients
Neurosurgical Trauma Services PastSince Dec 1, 2008 Accepting new patients

Locations

1301 Secret Ravine Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-3300

Interoperability endpoints

  • Direct secure messaging: bchehrazi22697@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346226685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PARKWAY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PARKWAY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEHRAZI",
        "first_name": "BAHRAM",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G38223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.