Bhawna Bahethi, MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0051325 Issued in MD

Legal business name

BHAWNA BAHETHI, MD LLC

Practice address

1600 Crain Hwy S
Ste 501
Glen Burnie, MD 21061-5577

Phone

(410) 766-8911

Fax

(410) 766-8977

NPI assigned

Sep 24, 2009

Last updated

Apr 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bhawna Bahethi, MDNPI 1629150586

Title

Admin

Phone

(410) 766-8911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AICIAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhawna Bahethi, M.D.

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1629150586
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Jane Kelley, DNP, CRNP, A-GNP-C

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1679292007
  Medicare reassignment Care Compare group NPD
• Courtney Keegan Perkins, DNP, AGNP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1184196024
  Medicare reassignment NPD
• Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C

  • Adult Health Nurse Practitioner
  • Oxon Hill, MD
  • NPI 1295503829
  Medicare reassignment NPD
• Ava Williams, DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1841693405
  Medicare reassignment NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1457685380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "STE 501",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-766-8911",
            "fax_number": "410-766-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "STE 501",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-766-8911",
            "fax_number": "410-766-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAWNA BAHETHI, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "BAHETHI",
        "authorized_official_first_name": "BHAWNA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "410-766-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0051325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bhagat, MD
• Nisha Rani Bhardwaj, AGAC CRNP
• Bhasin Pediatrics, LLC
• Samir Bhasin
• Sushma Bhasin, M.D.
• Anne Bierey, LCSW-C
• Bioserenity DT, Inc.
• Jennifer Lyn Birchenough, OTR, PA-C
• Karen Birx
• Jennifer K Bisegger, PT, MPT

• Internal Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.