Fatoumata Binta Bah, MD
Individual provider Active NPI Anesthesiology Physician · Anderson, IN
NPI 1386104693 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1386104693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01091552A (IN)
- Practice address
- 1515 N Madison Ave
Anderson, IN 46011-3453 - Phone
- (765) 298-5117
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Physicians of Indiana Inc
Practice addresses (Care Compare)
1515 N Madison Ave
Anderson, IN 46011-3453
Phone (765) 298-4242
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20231108003410 | IN | Practitioner - Anesthesiology | 6305179102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
Interoperability endpoints
- fbah570995@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01091552A | IN | Yes |
Addresses
Primary practice location
1515 N Madison Ave
Anderson, IN 46011-3453
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other providers in Anderson, IN
- Deborah Jean Axness
- Pauline Ayad
- Anna Marie Azote
- Andrea Jeanne Baer
- Joseph C Baer II
- Mohammad Sami Bakdash
- Wael Bakdash
- Baker Chiropractic Clinic Inc.
- Baker Foot Solutions Corp
- Michael J Baker
All providers in Anderson, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. 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.