NPIMap

Individual provider Active NPI

Mubashir Hamid Bahrami, M.D.

  • Interventional Cardiology Physician
  • Cary, NC
National Provider Identifier
1659767929
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
202201206 Issued in NC
Practice address
300 Keisler Dr Ste 204
Cary, NC 27518-7083
Phone
(919) 233-0059
Fax
(919) 233-0343
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 202201206 NC Primary
Cardiovascular Disease Physician 207RC0000X 202201206 NC

Addresses

Primary practice location

300 Keisler Dr Ste 204
Cary, NC 27518-7083

Mailing address

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220614001287 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476808957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

300 Keisler Dr
Cary, NC 27518-7083
Phone (919) 350-0554

Hospital & facility affiliations

  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

Merit-based Incentive Payment System (MIPS)

Final score
59.24 of 100Reported as group
Quality
76.05
Promoting interoperability
0
Improvement activities
40
Cost
71.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Leg revascularization (restoring blood flow)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202201206NCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Sep 30, 2024 Accepting new patients
Wakemed Specialists Group, LLC Cardiovascular Disease Current Accepting new patients
Raleigh Cardiology Associates, PA Cardiovascular Disease Current Accepting new patients
Wakemed Specialists Group LLC Cardiovascular Disease CurrentSince Sep 30, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434

300 Keisler Dr
Ste 204
Cary, NC 27518
Phone (919) 233-0059

400 Attain St
Fuquay Varina, NC 27526
Phone (984) 377-8675

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: mbahrami2@direct.iuhealth.org
  • Direct secure messaging: mbahrami420206@directhisp.wakemed.org

Organizations & group practices 5

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1659767929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "919-233-0059",
            "fax_number": "919-233-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "MUBASHIR",
        "middle_name": "HAMID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "202201206",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "202201206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.