Individual provider Active NPI

Fabien K Baksh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lancaster, PA
National Provider Identifier
1740253665
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD065738L Issued in PA
Practice address
2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415
Phone
(717) 393-7771
Fax
(717) 393-7328
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD065738L PA Primary

Addresses

Primary practice location

2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415

Mailing address

2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415
Phone (717) 393-7771

Other identifiers 2

IdentifierTypeStateIssuer
001923985MedicaidPA
1205026002OtherPANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20081111000492 PA Practitioner - Pathology 3678654324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Plastic Surgery Institute PCGroup PAC ID 6305825902, 6 clinicians

Practice addresses (Care Compare)

50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 320-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD065738LPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Specialty Pathology, LLC Current Accepting new patients
Pennsylvania Specialty Pathology LLC CurrentSince Jan 1, 2008 Accepting new patients

Locations

2301 Harrisburg Pike
Ste 201
Lancaster, PA 17601
Phone (717) 393-7328

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1740253665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HARRISBURG PIKE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012415",
            "telephone_number": "717-393-7771",
            "fax_number": "717-393-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HARRISBURG PIKE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012415",
            "telephone_number": "717-393-7771",
            "fax_number": "717-393-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSH",
        "first_name": "FABIEN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD065738L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001923985",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205026002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.