Individual provider Active NPI

Abbas Bahari, M.D.

  • Neurological Surgery Physician
  • Monroe, MI
National Provider Identifier
1447469176
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301087953 Issued in MI
Practice address
1420 N Monroe St
Monroe, MI 48162-4211
Phone
(734) 240-8480
Fax
(734) 384-0469
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35134956 OH
Neurological Surgery Physician 207T00000X A121722 CA
Neurological Surgery Physician 207T00000X 4301087953 MI Primary

Addresses

Primary practice location

1420 N Monroe St
Monroe, MI 48162-4211

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (567) 585-1992

Other identifiers 2

IdentifierTypeStateIssuer
MI6270077OtherMIMEDICARE PIN
1447469176MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140908002582 CA Practitioner - NeurosurgeryPractitioner - Other (Physician) 2567699796 Reassigns benefits to 2 organizations
I20181109000383 MI Practitioner - Neurosurgery 2567699796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Brain and Spine Institute IncGroup PAC ID 2860701653, 2 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 300
Salinas, CA 93906-3134
Phone (831) 783-2506

Hospital & facility affiliations

  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion24
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121722CAMDNeurological Surgery Physician
4301087953MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Oct 20, 2016 Accepting new patients
Scripps Health Current Accepting new patients
West Coast Brain and Spine Institute Inc CurrentSince Jul 21, 2022 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1441 Constitution Blvd
Ste 300
Salinas, CA 93906
Phone (831) 783-2506

Interoperability endpoints

  • Direct secure messaging: abahari70584@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1447469176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1992",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624211",
            "telephone_number": "734-240-8480",
            "fax_number": "734-384-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHARI",
        "first_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35134956",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A121722",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301087953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "MI6270077",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447469176",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.