Philip Morris Bach, MD
Individual provider Active NPI Cardiovascular Disease Physician · Sacramento, CA
NPI 1376594267 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1376594267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- G44566 (CA)
- Practice address
- 500 University Ave.
Sacramento, CA 95825-6524 - Phone
- (916) 830-2000
- Fax
- (916) 830-2001
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Georgetown University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sacramento Heart and Vascular Medical
Practice addresses (Care Compare)
500 University Ave
Sacramento, CA 95825-6504
Phone (916) 830-2000
Hospital & facility affiliations
- Sutter Medical Center, Sacramento
- Marshall Medical Center
- Sutter Amador Hospital
- Sutter Roseville Medical Center
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.96 of 100
- Quality
- 79.71
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080612000907 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 8325010325 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44566 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Heart Ambulatory Surgery Center, Inc | Current |
Accepting new patients | |
| Sacramento Heart & Vascular Medical | Cardiovascular Disease | Current |
Accepting new patients |
| Sacramento Heart & Vascular | Current |
Accepting new patients | |
| Dignity Community Care | Cardiovascular Disease | Past | Accepting new patients |
| Marshall Medical Center | Cardiovascular Disease | Past | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
500 University Ave
Sacramento, CA 95825
Phone (916) 423-6806
Interoperability endpoints
- philip.bach.1@33049.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G44566 | CA | Yes |
Addresses
Primary practice location
500 University Ave.
Sacramento, CA 95825-6524
Mailing address
500 University Ave.
Sacramento, CA 95825-6524
Phone (916) 830-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G445660 | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1376594267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE.",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256524",
"telephone_number": "916-830-2000",
"fax_number": "916-830-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE.",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256524",
"telephone_number": "916-830-2000",
"fax_number": "916-830-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACH",
"first_name": "PHILIP",
"middle_name": "MORRIS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G44566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G445660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Susan C Bacalman
- Liesel Allison Lucas Bacani
- Daisy Loraine Bacatan
- Cortney Baccari
- Huong T Bach
- Deborah Bachand
- Heaven Bachand
- Allison Bachelder
- Caylee Bacho
- Deannallie Bacod
All providers in Sacramento, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.