Active NPI
Sara Bachani, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1407230378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MT209959
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT209959 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laporte County Comprehensive Mental Health Council | Current | 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.
-
dba Swanson Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Michigan City, IN
- NPI 1295746816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.