Individual provider Active NPI

David Eugene Bacha, M.D.

  • Rheumatology Physician
  • Akron, OH
National Provider Identifier
1366448482
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
48308 Issued in OH
Practice address
471 N. Cleveland Massillon Rd.
Akron, OH 44333
Phone
(330) 668-4045
Fax
(330) 668-2492
NPI assigned
Jun 23, 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
Rheumatology Physician 207RR0500X 48308 OH Primary

Addresses

Primary practice location

471 N. Cleveland Massillon Rd.
Akron, OH 44333

Mailing address

471 N. Cleveland Massillon Rd
Akron, OH 44333
Phone (330) 668-4045

Other identifiers 2

IdentifierTypeStateIssuer
P00238133OtherOHMEDICARE ID
0639223MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050627000442 OH Practitioner - Rheumatology 6901870062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Northeastern Ohio University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Arthritis Center, Inc.Group PAC ID 4587609110, 5 clinicians

Practice addresses (Care Compare)

471 N Cleveland Massillon Rd
Akron, OH 44333-2426
Phone (330) 670-4026

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48308OHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Arthritis Center, Inc. Rheumatology CurrentSince Jun 1, 2005 Accepting new patients
Crystal Clinic, Inc. Past Accepting new patients
Crystal Clinic Inc Past Accepting new patients

Locations

471 N Cleveland Massillon Rd
Akron, OH 44333
Phone (330) 668-4045

471 N Cleveland Massillon Rd
#R
Akron, OH 44333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHDAA
  • Direct secure messaging: david.bacha@caci.eclinicaldirectplus.com

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 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366448482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N. CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-4045",
            "fax_number": "330-668-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N. CLEVELAND MASSILLON RD.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-4045",
            "fax_number": "330-668-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHA",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "48308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00238133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0639223",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.