Ali Mustafa Bajwa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.130480 Issued in IL

Practice address

701 N 1St St
Springfield, IL 62781-0001

Phone

(217) 788-3156

NPI assigned

Jul 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Doctors Express of the Beaumont Area PA

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment NPD
• TK Emergency Physicians Group PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1942728019
  Medicare reassignment NPD
• Total Point - Desoto LLC

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1104590330
  Medicare reassignment NPD
• Westfield Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1275938771

  Family Medicine

  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)
• Riverside Urgent Care

  • Urgent Care Clinic/Center
  • La Place, LA
  • NPI 1508098427
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1659536852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "ALI",
        "middle_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.130480",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E. Bailey, P.T.A.
• Joseph John Baima Jr., M.D.
• Baines Dental, LLC
• Lisa Marie Baines, DMD
• Makayla Marie Baird, RD, LD
• Tanya Bakamba
• Aimee Rachel Pampe Baker, DO
• Alyssa Marie Baker, RBT
• Curtis L. Baker, CRNA
• Jadyn Hope Baker, RBT

• Family Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.