Individual provider Active NPI

Bahar Sadjadi, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1548609506
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD458853 Issued in PA
Practice address
245 N 15TH St
Mail Stop 427
Philadelphia, PA 19102-1101
Phone
(215) 762-7698
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 MD458853 PA Primary

Addresses

Primary practice location

245 N 15TH St
Mail Stop 427
Philadelphia, PA 19102-1101

Mailing address

2100 Walnut St
Apartment 6I
Philadelphia, PA 19103-4810
Phone (510) 918-7447

Other identifiers 1

IdentifierTypeStateIssuer
PO1762008OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171002001426 CA Practitioner - Internal Medicine 9335433903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Inpatient Medical IncGroup PAC ID 5496757577, 22 clinicians

Practice addresses (Care Compare)

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 814-4397

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458853PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Inpatient Medical Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

909 Marina Village Pkwy
Alameda, CA 94501
Phone (207) 423-5576

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

Interoperability endpoints

  • Direct secure messaging: bsadjadi63110@alamedahs.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1548609506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WALNUT ST",
            "address_2": "APARTMENT 6I",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034810",
            "telephone_number": "510-918-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MAIL STOP 427",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADJADI",
        "first_name": "BAHAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD458853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1762008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.