Organization Active NPI

Bahri Orthopedics Institute

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jacksonville, FL
National Provider Identifier
1578043998
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME46697 Issued in FL
Legal business name
BAHRI ORTHOPEDICS INSTITUTE
Practice address
6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379
Phone
(904) 388-3351
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Fady El-Bahri, MDNPI 1780778308
Title
MD
Phone
(904) 388-3351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X ME46697 FL Primary

Addresses

Primary practice location

6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379

Mailing address

6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379

Other practice location 1

794 Blanding Blvd
Orange Park, FL 32065-5721
Phone (904) 619-3048

Other practice location 2

1045 Riverside Ave Ste 100
Jacksonville, FL 32204-4148
Phone (904) 619-3048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190314002623 FL Part B Supplier - Clinic/Group Practice 5698015360 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL
O20220523002194 GA Part B Supplier - Clinic/Group Practice 5698015360 Receives reassigned benefits from 1 practitioner
Practice locations: Waycross, GA

National Provider Directory

National Provider Directory

Locations

19115 Colima Rd
Rowland Heights, CA 91748
Phone (626) 236-2597

6100 Kennerly Rd
Ste 202
Jacksonville, FL 32216
Phone (904) 619-3048

6100 Kennerly Rd
Ste 101
Jacksonville, FL 32216
Phone (904) 739-0050

1045 Riverside Ave
Jacksonville, FL 32204
Phone (904) 257-4020

1405 S Orange Ave
Ste 601
Orlando, FL 32806
Phone (407) 649-1097

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1578043998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379",
            "telephone_number": "904-388-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "794 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320655721",
            "country_code": "US",
            "telephone_number": "904-619-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 Riverside Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044148",
            "country_code": "US",
            "telephone_number": "904-619-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAHRI ORTHOPEDICS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "EL-BAHRI",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "904-388-3351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME46697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.