Individual provider Active NPI

George El-Bahri, D.O.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1386924298
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS11856 Issued in FL
Practice address
6100 Kennerly Rd Ste 101
Jacksonville, FL 32216-4376
Phone
(904) 739-0050
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS11856 FL Primary

Addresses

Primary practice location

6100 Kennerly Rd Ste 101
Jacksonville, FL 32216-4376

Mailing address

6100 Kennerly Rd Ste 101
Jacksonville, FL 32216-4376
Phone (904) 739-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171002000742 FL Practitioner - Orthopedic Surgery 7911272935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern Univ College of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bahri Orthopedics and Sports Medicine Clinic, P.L.Group PAC ID 8527954510, 4 clinicians
Bahri Orthopedics InstituteGroup PAC ID 5698015360, 2 clinicians

Practice addresses (Care Compare)

6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216-4376
Phone (904) 739-0050

6100 Kennerly Rd
Suite 202
Jacksonville, FL 32216-4379
Phone (904) 619-3048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11856FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bahri Orthopedics & Sports Medicine Clinic, P.L. Orthopaedic Surgery CurrentSince Sep 17, 2018 Accepting new patients
Anchor Spine and Joint LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

6100 Kennerly Rd
Ste 101
Jacksonville, FL 32216
Phone (904) 739-0050

22953 State Road 54
Lutz, FL 33549

13543 State Road 54
Ste B
Odessa, FL 33556
Phone (813) 331-4465

794 Blanding Blvd
Orange Park, FL 32065
Phone (904) 328-5979

7800 66th St N
Pinellas Park, FL 33781
Phone (727) 545-9674

6231 66th St N
Pinellas Park, FL 33781
Phone (727) 526-2771

10730 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 331-4465

10726 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 331-4465

2727 W Mlk Blvd
Ste 200
Tampa, FL 33607
Phone (813) 694-5824

5100 W Kennedy Blvd
Ste 280
Tampa, FL 33609
Phone (813) 331-4465

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 2

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1386924298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164376",
            "telephone_number": "904-739-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164376",
            "telephone_number": "904-739-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-BAHRI",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS11856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.