Individual provider Active NPI

Shoaib Bakht, MD, FACC, FACP

  • Cardiovascular Disease Physician
  • Suffolk, VA
National Provider Identifier
1720037617
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101038244 Issued in VA
Practice address
1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone
(757) 539-0444
Fax
(757) 539-4824
NPI assigned
May 8, 2006
Last updated
Nov 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101038244 VA
Cardiovascular Disease Physician 207RC0000X 0101038244 VA Primary
Nuclear Cardiology Physician 207UN0901X 0101038244 VA

Addresses

Primary practice location

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470

Mailing address

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 539-0444

Other identifiers 1

IdentifierTypeStateIssuer
006026699MedicaidVA

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
0101038244VAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1720037617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348470",
            "telephone_number": "757-539-0444",
            "fax_number": "757-539-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348470",
            "telephone_number": "757-539-0444",
            "fax_number": "757-539-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHT",
        "first_name": "SHOAIB",
        "name_prefix": "Dr.",
        "credential": "MD, FACC, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101038244",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101038244",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0101038244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006026699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.