Individual provider Active NPI

Marwan A Bakheet, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1699938696
Registry record updated Feb 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101254385 Issued in VA
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

Updated by the provider on Feb 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
272174NYMDInternal Medicine Physician
0101254385VAMDInternal 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.

Verify at the official NPI Registry.