Mark Ali Bahreini, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11374 Issued in TX

Practice address

6928 Amethyst LN
Plano, TX 75023-1938

Phone

(214) 714-4782

NPI assigned

Aug 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: mark.bahreini@ghuc.eclinicaldirectplus.com

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.

• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment Care Compare group
• El Dorado Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1154799328
  Medicare reassignment
• Mark Viktor Silver PLLC

  • Neurological Surgery Physician
  • Sherman, TX
  • NPI 1306234562
  Medicare reassignment
• Woodbridge Physicians Staffing Group, PLLC

  • Emergency Care Clinic/Center
  • Frisco, TX
  • NPI 1750777322
  Medicare reassignment
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment
• Mark Viktor Silver PLLC

  • Durable Medical Equipment & Medical Supplies
  • McKinney, TX
  • NPI 1346751211
  NPD
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396260147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6928 AMETHYST LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231938",
            "telephone_number": "214-714-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6928 AMETHYST LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231938",
            "telephone_number": "214-714-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHREINI",
        "first_name": "MARK",
        "middle_name": "ALI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11374",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana M Bagley, M.A., LPC
• Angela Bagnulo, DC
• Amola S Bagri, M.D.
• Kathleen Bagur, CCP, LP
• Nadia Michelle Bahramnejad
• Jovaria Baig
• Ashia Bailey
• Catherine Deann Bailey, LPC-A
• Danielle L Bailey, P.T.
• Emily Faye Bailey, DC

• Medical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.