Individual provider Active NPI

Rima Sanjiv Bakhda, MD

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1750793444
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
131902 Issued in FL
Practice address
1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone
(727) 222-0164
Fax
(727) 558-4009
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 131902 FL Primary

Addresses

Primary practice location

1100 Clearwater Largo Rd N
Largo, FL 33770-4131

Mailing address

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 222-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180306001568 FL Practitioner - Internal Medicine 5092008383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohm Medicine LLCGroup PAC ID 7315285590, 2 clinicians

Practice addresses (Care Compare)

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 222-0164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131902FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Dec 27, 2021 Accepting new patients
Elias Kanaan MD PA Internal Medicine CurrentSince Oct 2, 2019 Accepting new patients
Best Value Healthcare LLC Internal Medicine PastSince Jun 22, 2021 Accepting new patients

Locations

1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4501 13th St
Saint Cloud, FL 34769
Phone (321) 294-0583

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1750793444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-222-0164",
            "fax_number": "727-558-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-222-0164",
            "fax_number": "727-558-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHDA",
        "first_name": "RIMA",
        "middle_name": "SANJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "131902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.