Active NPI
Baha Al-Deen Abu-Esheh, MD
- Neurology Physician
- Ardmore, OK
National Provider Identifier
1619909934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22441
- Practice address
- 908 N Rockford Rd Ste a
Ardmore, OK 73401-2541 - Phone
- (580) 223-0447
- Fax
- (580) 223-2989
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22441 | OK | Primary |
Addresses
Primary practice location
908 N Rockford Rd Ste a
Ardmore, OK 73401-2541
Mailing address
PO Box 268996
Oklahoma City, OK 73126-8996
Phone (580) 223-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22441 | Other | OK | OKLAHOMA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20061101000567 | OK | Practitioner - Neurology | 2668479791 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baha Al Deen Abuesheh MD PC
Practice addresses (Care Compare)
1803 N Rockford Rd
Ardmore, OK 73401-2522
Phone (580) 223-0447
Hospital & facility affiliations
- Integris Southwest Medical Center
- Chickasaw Nation Medical Center
- Mercy Hospital Ardmore, Inc
- Mercy Hospital Ada
- Duncan Regional Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baha Al Deen Abuesheh MD PC | Neurology | Current | Accepting new patients |
| Southern Oklahoma Diagnostic Center, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
908 N Rockford Rd
Ste A
Ardmore, OK 73401
Phone (580) 223-0447
1803 N Rockford Rd
Ardmore, OK 73401
Phone (580) 223-0447
11101 Hefner Pointe Dr
Ste 105
Oklahoma City, OK 73120
Phone (405) 604-4936
Interoperability endpoints
- bahaabuesheh@baemd.allscriptsdirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Ardmore, OK
- NPI 1114021284
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1619909934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268996",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268996",
"telephone_number": "580-223-0447",
"fax_number": "580-223-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ROCKFORD RD STE A",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012541",
"telephone_number": "580-223-0447",
"fax_number": "580-223-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU-ESHEH",
"first_name": "BAHA",
"middle_name": "AL-DEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "22441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA LICENSE",
"identifier": "22441",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.