Individual provider Active NPI

Evan K Bash, MD

  • Orthopaedic Surgery Physician
  • Upland, PA
National Provider Identifier
1508812272
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD030656E Issued in PA
Practice address
One Medical Ctr Blvd
CCMC Pob II Ste 324
Upland, PA 19013
Phone
(610) 876-0347
Fax
(610) 876-3788
NPI assigned
May 25, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD030656E PA Primary

Addresses

Primary practice location

One Medical Ctr Blvd
CCMC Pob II Ste 324
Upland, PA 19013

Mailing address

One Medical Ctr Blvd
CCMC Pob II Ste 324
Upland, PA 19013
Phone (610) 876-0347

Other identifiers 1

IdentifierTypeStateIssuer
1115540MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20110817000019 DE Practitioner - Orthopedic Surgery 2264555887 Reassigns benefits to 1 organization
I20111111000173 PA Practitioner - Orthopedic Surgery 2264555887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1396 Wilmington Pike
West Chester, PA 19382-8218
Phone (610) 399-1138

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

300 Evergreen Dr
Glen Mills, PA 19342-1059

470 John Young Way
Suite 100
Exton, PA 19341-2557
Phone (610) 363-6589

5201 Pennell Rd
Media, PA 19063-6502

701 N Clayton St
Suite 600
Wilmington, DE 19805-3165
Phone (302) 656-2643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD030656EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince Apr 9, 2011 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince Apr 9, 2011 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients

Locations

701 N Clayton St
Ste 600
Wilmington, DE 19805
Phone (302) 656-2643

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

1 Medical Center Blvd
#324
Chester, PA 19013
Phone (215) 876-0347

300 Evergreen Dr
Ste 200
Glen Mills, PA 19342
Phone (610) 361-4198

5201 Pennell Rd
Ste C
Media, PA 19063
Phone (610) 874-9710

Interoperability endpoints

  • Direct secure messaging: evan.bash.1@22724.direct.athenahealth.com
  • Direct secure messaging: evanbash@po.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1508812272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CTR BLVD",
            "address_2": "CCMC POB II STE 324",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-876-0347",
            "fax_number": "610-876-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CTR BLVD",
            "address_2": "CCMC POB II STE 324",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-876-0347",
            "fax_number": "610-876-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASH",
        "first_name": "EVAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD030656E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.