NPIMap

Individual provider Active NPI

Ashkan Bahin-Aein, MD

  • Internal Medicine Physician
  • Whiteriver, AZ
National Provider Identifier
1508983057
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51941 Issued in AZ
Practice address
860 W. Hospital Dr./PO Box 860
Whiteriver, AZ 85941
Phone
(928) 338-4911
Fax
(928) 352-3503
NPI assigned
Mar 22, 2007
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51941 AZ Primary

Addresses

Primary practice location

860 W. Hospital Dr./PO Box 860
Whiteriver, AZ 85941

Mailing address

PO Box 950
Whiteriver, AZ 85941-0950
Phone (775) 223-5935

Other identifiers 2

IdentifierTypeStateIssuer
1508983057OtherNPI
12162269OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161019000769 AZ Practitioner - Internal Medicine 6204975030 Reassigns benefits to 2 organizations
I20211217001541 TX Practitioner - Internal Medicine 6204975030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 2668649567, 72 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

200 W Hospital Dr
860 Whiteriver Indian
Whiteriver, AZ 85941-0860
Phone 92833849113532

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince May 5, 2018 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 2, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 2, 2021 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Apr 29, 2024 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince May 1, 2021 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Apr 29, 2024 Accepting new patients
Nikos Inpatient Services Internal Medicine Past Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C Hospitalist Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Organizations & group practices 8

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 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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1508983057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410950",
            "telephone_number": "775-223-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W. HOSPITAL DR./PO BOX 860",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-4911",
            "fax_number": "928-352-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHIN-AEIN",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508983057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12162269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteriver, AZ

Sources for this page

Verify at the official NPI Registry.