Benjamin B.a. Bakall, M.D., PH.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

47552 Issued in AZ

Practice address

1750 E Glendale Ave
Phoenix, AZ 85020-5505

Phone

(602) 242-4928

Fax

(602) 249-4813

NPI assigned

Jul 14, 2007

Last updated

Jan 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Ophthalmology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retina Consultants LTDGroup PAC ID 4486547395, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbakall68979@direct.valleywisehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Retina Consultants, LTD.

  • Retina Specialist (Ophthalmology) Physician
  • Phoenix, AZ
  • NPI 1164633160
  Medicare reassignment Care Compare group NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• Associated Retina Consultants, LTD.

  • Ophthalmology Physician
  • Prescott, AZ
  • NPI 1053592428
  NPD (past)
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1700085222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALL",
        "first_name": "BENJAMIN",
        "middle_name": "B.A.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "47552",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "47552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812136",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Baird, R.D.
• Bobur Baizack, MD
• John Bajamundi
• Diane Marie Bajus, MS, CNP, CNM, PHD
• Leslie Diane Bajuscak, AU.D.
• Heatheranne Baker-Oldfield, PSYD
• Audrey Baker, OTD, OTR/L
• Breana Lynn Baker, MSPA, PA-C
• Brenda Lea Baker, NP-C
• Chezka Mae Largosa Baker, PHARMD

• Retina Specialist (Ophthalmology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Retina Specialist (Ophthalmology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.

Verify at the official NPI Registry.