Active NPI
Marwan A Bakheet, MD
- Internal Medicine Physician
- Charlottesville, VA
National Provider Identifier
1699938696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101254385
- Practice address
- 120 Yellowstone Dr
No. 2
Charlottesville, VA 22903-8109 - Phone
- (646) 275-4802
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101254385 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 272174 | NY |
Addresses
Primary practice location
120 Yellowstone Dr
No. 2
Charlottesville, VA 22903-8109
Mailing address
PO Box 8355
Charlottesville, VA 22906-8355
Phone (646) 275-4802
Other names 1
- Dr. Marwan A Bakheet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272174 | NY | MD | Internal Medicine Physician |
| 0101254385 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392508800000",
"number": "1699938696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8355",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229068355",
"telephone_number": "646-275-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 YELLOWSTONE DR",
"address_2": "NO. 2",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229038109",
"telephone_number": "646-275-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHEET",
"first_name": "MARWAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2014-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101254385",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "272174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARWAN",
"last_name": "BAKHEET",
"middle_name": "A",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.