Individual provider Active NPI

Sara Bachani, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1407230378
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT209959 Issued in PA
Practice address
4641 Roosevelt Blvd, Friends Hospital
Room 231
Philadelphia, PA 19124
Phone
(215) 831-4577
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT209959 PA Primary

Addresses

Primary practice location

4641 Roosevelt Blvd, Friends Hospital
Room 231
Philadelphia, PA 19124

Mailing address

4641 Roosevelt Blvd, Friends Hospital
Room 231
Philadelphia, PA 19124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200608001245 IN Practitioner - Psychiatry 7416378096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laporte County Comprehensive Mental Health CouncilGroup PAC ID 3274703046, 20 clinicians

Practice addresses (Care Compare)

7224 W 400
Michigan City, IN 46360-2903
Phone (219) 879-4621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT209959PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laporte County Comprehensive Mental Health Council CurrentSince May 4, 2020 Accepting new patients

Locations

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1407230378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD, FRIENDS HOSPITAL",
            "address_2": "ROOM 231",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD, FRIENDS HOSPITAL",
            "address_2": "ROOM 231",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "215-831-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHANI",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT209959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.