NPIMap

Individual provider Active NPI

Bhawna Bahethi, M.D.

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1629150586
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0051325 Issued in MD
Practice address
1600 Crain Hwy S
Suite 501
Glen Burnie, MD 21061-5577
Phone
(410) 766-8911
Fax
(410) 766-8977
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bhawna Bahethi, MD LLC 2 clinicians

Practice addresses (Care Compare)

1600 Crain Hwy S
Suite 501
Glen Burnie, MD 21061-6443
Phone (410) 766-8911

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001394 MD Practitioner - Internal Medicine 7113993361 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bhawna Bahethi, MD LLC Internal Medicine CurrentSince Dec 9, 2009 Accepting new patients
Potomac Physicians PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Jeffrey E. Atkinson, MD LLC PastSince Jan 1, 2004 Accepting new patients

Locations

1600 Crain Hwy S
Ste 502
Glen Burnie, MD 21061
Phone (410) 766-3331

1600 Crain Hwy S
Ste 501
Glen Burnie, MD 21061
Phone (410) 766-8911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AICIAA/Endpoint/AICIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICIAA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0051325 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 Crain Hwy S
Suite 501
Glen Burnie, MD 21061-5577

Mailing address

1600 Crain Hwy S
Suite 501
Glen Burnie, MD 21061-5577
Phone (410) 766-8911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2010.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1629150586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 501",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-766-8911",
            "fax_number": "410-766-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 501",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-766-8911",
            "fax_number": "410-766-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHETHI",
        "first_name": "BHAWNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0051325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.