Active NPI
Reecha Sachdeva Bahl, MD
- Ophthalmology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301097896
- Practice address
- 4717 Saint Antoine St
Detroit, MI 48201-1423 - Phone
- (313) 577-8900
- Fax
- (313) 577-0700
- NPI assigned
- Jun 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 4301097896 | MI | Primary |
Addresses
Primary practice location
4717 Saint Antoine St
Detroit, MI 48201-1423
Mailing address
1560 E. Maple Rd.
Suite 400 - Credentialing
Troy, MI 48083-1135
Phone (313) 577-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- George Washington University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900
Hospital & facility affiliations
- Detroit Receiving Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301097896 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Eye Care PC | Ophthalmology | Current | Accepting new patients |
| University Physician Group | Ophthalmology | Current | Accepting new patients |
| Children'S Eye Care, PC | Ophthalmology | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients | |
| Children'S Eye Care PC | Ophthalmology | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| Children'S Eye Care, PC | Ophthalmology | Past | Accepting new patients |
Locations
4700 Schaefer Rd
Ste 260
Dearborn, MI 48126
Phone (313) 583-5400
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- reecha.bahl.1@19711.direct.athenahealth.com
- rbahl@direct.dmc.org
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1922069806
-
- Ophthalmology Physician
- Detroit, MI
- NPI 1972874683
-
- Ophthalmology Physician
- Clinton Township, MI
- NPI 1326208323
-
- Optometrist
- Detroit, MI
- NPI 1063452233
-
- Ophthalmology Physician
- West Bloomfield, MI
- NPI 1245490242
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1700045366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E. MAPLE RD.",
"address_2": "SUITE 400 - CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831135",
"telephone_number": "313-577-8900",
"fax_number": "313-577-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011423",
"telephone_number": "313-577-8900",
"fax_number": "313-577-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHL",
"first_name": "REECHA",
"middle_name": "SACHDEVA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-08",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301097896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.