Individual provider Active NPI

Babak Baharloo

  • Podiatrist
  • Houston, TX
National Provider Identifier
1740662147
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2129 Issued in TX
Practice address
11515 Chimney Rock Rd
Houston, TX 77035-2905
Phone
(713) 728-3117
Fax
(713) 728-2212
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2129 TX
Podiatrist 213E00000X 2129 TX Primary

Addresses

Primary practice location

11515 Chimney Rock Rd
Houston, TX 77035-2905

Mailing address

1035 Sugar Lakes Dr
Sugar Land, TX 77478-3446
Phone (713) 582-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002424 OR Practitioner - Podiatry 8921314147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Frontier Foot and Ankle Specialists LLCGroup PAC ID 8628494101, 3 clinicians

Practice addresses (Care Compare)

780 2ND St SE
Suite 7
Bandon, OR 97411-8354

Hospital & facility affiliations

  • Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue217
Removal of skin lesions83
Removal of nail tissue224
Removal or shaving of skin growth57
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2129TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Foot and Ankle Specialists LLC Podiatrist CurrentSince Jul 6, 2020 Accepting new patients
Caring Foot & Ankle Specialists Foot & Ankle Surgery Past Accepting new patients

Locations

780 2nd St SE
Ste 7
Bandon, OR 97411
Phone (540) 347-2529

780 2nd St SE
Ste 10
Bandon, OR 97411
Phone (541) 329-2555

Interoperability endpoints

  • Direct secure messaging: babak.baharloo@ffaasl-or.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1740662147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SUGAR LAKES DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783446",
            "telephone_number": "713-582-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352905",
            "telephone_number": "713-728-3117",
            "fax_number": "713-728-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHARLOO",
        "first_name": "BABAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2129",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.