Shelby Baham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0004038 Issued in CO

Practice address

PO Box 467
Zuni, NM 87327-0467

Phone

(505) 782-4431

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zuni Comprehensive Community Health Center Hospital, Zuni, NM, CCN 320060

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Zuni Indian Hospital

  • General Acute Care Hospital
  • Zuni, NM
  • NPI 1497843734

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1629805965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467",
            "telephone_number": "505-782-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAM",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Akpan, PHARMD
• Joshua D Back, MD
• Renu Bala
• Linda Ly Bianciotto, O.D.
• Ayana E Blagrove, RDH
• Demetri Blanas, MD
• Frank Bono, PHD

• Optometrist in Zuni, NM
• Providers in Zuni, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.