Active NPI
Robert L Bahr, MD
- Ophthalmology Physician
- Providence, RI
National Provider Identifier
1548246382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD05032
- Practice address
- 150 E Manning St
Providence, RI 02906-5109 - Phone
- (401) 272-2020
- Fax
- (401) 421-5979
- NPI assigned
- Dec 22, 2005
- Last updated
- May 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD05032 | RI | Primary |
Addresses
Primary practice location
150 E Manning St
Providence, RI 02906-5109
Mailing address
150 E Manning St
Providence, RI 02906-5109
Phone (401) 272-2020
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153555 | Other | RI | HARVARD |
| M17477 | Other | MA | BCBS MASS GROUP # |
| 0021765 | Other | MA | NEIGHBORHOOD MA |
| 0859 | Other | RI | NHP RI - GROUP # |
| 9782486 | Medicaid | MA | |
| 08-00125 | Other | RI | UNITED |
| 180036711 | Other | RI | RAILROAD MEDICARE |
| 4236-3 | Other | MA | BCBS RI - MASS GROUP # |
| 603940 | Other | RI | TUFTS - GROUP # |
| 7000871 | Medicaid | RI | |
| J04639 | Other | MA | BLUE CROSS - MASSACHUSETT |
| 1618 | Other | RI | NEIGHBORHOOD RI |
| 5827188 | Other | RI | AETNA |
| 000187 | Other | RI | BLUE CHIP |
| 0583135 | Other | RI | CIGNA |
| 26587 | Other | RI | RI BLUE SHIELD |
| 738346 | Other | RI | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120208000676 | RI | Practitioner - Ophthalmology | 1759344237 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05032 | RI | MD | Ophthalmology Physician |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1548246382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E MANNING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065109",
"telephone_number": "401-272-2020",
"fax_number": "401-421-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E MANNING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065109",
"telephone_number": "401-272-2020",
"fax_number": "401-421-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHR",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD05032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "153555",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MASS GROUP #",
"identifier": "M17477",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD MA",
"identifier": "0021765",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP RI - GROUP #",
"identifier": "0859",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9782486",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "08-00125",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180036711",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI - MASS GROUP #",
"identifier": "4236-3",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS - GROUP #",
"identifier": "603940",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000871",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - MASSACHUSETT",
"identifier": "J04639",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD RI",
"identifier": "1618",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5827188",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "000187",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0583135",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE SHIELD",
"identifier": "26587",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "738346",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.