Individual provider Active NPI

Munish Rai Bakshi, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1508057365
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453101 Issued in PA
Practice address
231 N Broad St
Philadelphia, PA 19107-1511
Phone
(215) 762-5145
NPI assigned
Aug 7, 2007
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453101 PA Primary

Addresses

Primary practice location

231 N Broad St
Philadelphia, PA 19107-1511

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141219000834 PA Practitioner - Family Practice 5890830426 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1316 W Ontario St
Philadelphia, PA 19140-5220
Phone (215) 707-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Dec 1, 2014 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Nov 30, 2022 Accepting new patients
Drexel University Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 4, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC Family Medicine Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Oct 4, 2023 Accepting new patients
Tower Drexel Academic Medical Group LLC Current Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Nov 30, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Drexel University Current Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients
CHH Community Health Past Accepting new patients
Temple Faculty Practice Plan, Inc Past Accepting new patients

Locations

10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 1
Philadelphia, PA 19107
Phone (215) 762-5145

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1000 Easton Rd
Ste 260
Wyncote, PA 19095
Phone (215) 884-8815

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4

Organizations & group practices 15

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.

View all 15

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1508057365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021320",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSHI",
        "first_name": "MUNISH",
        "middle_name": "RAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.