Baqhar Mohideen MD, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

01055496 Issued in IN

Legal business name

BAQHAR MOHIDEEN MD, PC

Practice address

3630 Willowcreek Rd
Portage, IN 46368-5075

Phone

(219) 759-1441

Fax

(219) 738-6714

NPI assigned

Dec 4, 2006

Last updated

Jun 9, 2008By 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

Baqhar Mohideen, MDNPI 1780742353

Title

Physician-Owner

Phone

(219) 759-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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.

• Baqhar Mohideen, MD

  • Pulmonary Disease Physician
  • Portage, IN
  • NPI 1780742353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1467510677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1485",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841485",
            "telephone_number": "219-759-1441",
            "fax_number": "219-738-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-759-1441",
            "fax_number": "219-738-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAQHAR MOHIDEEN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MOHIDEEN",
        "authorized_official_first_name": "BAQHAR",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "219-759-1441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01055496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200356250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Baksinski, D.O.
• Anthony Michael Balbosa
• Jessica Rose Baldwin, NP
• Melissa E Ball, R.PH.
• Cary James Banka, LCSW
• Luis A Barajas, MD
• Danielle Barker
• Michael Barrera, LCAC
• Thomas Bassetto, O.D.
• Susan Bates

• Pulmonary Disease Physician in Portage, IN
• Providers in Portage, IN by specialty
• Pulmonary Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.