Individual provider Active NPI

Akeem Adeniyi Bakare, PT

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1760024814
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27632 Issued in MD
Practice address
1600 Crain Hwy S Ste 402
Glen Burnie, MD 21061-6437
Phone
(410) 590-0700
NPI assigned
Oct 10, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27632 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S Ste 402
Glen Burnie, MD 21061-6437

Mailing address

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone (410) 768-5050

Other practice location 1

3800 Lottsford Vista Rd
Bowie, MD 20721-4018
Phone (205) 240-8849

Other identifiers 1

IdentifierTypeStateIssuer
B260038031660OtherMDNONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213000009 MD Practitioner - Physical Therapist in Private Practice 4385070259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Crain Hwy S
Suite 402
Glen Burnie, MD 21061-6437
Phone (410) 590-0700

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 23, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 23, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

1630 Main St
Ste 110
Chester, MD 21619
Phone (410) 604-2982

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1600 Crain Hwy S
Ste 401
Glen Burnie, MD 21061
Phone (410) 768-5050

1600 Crain Hwy S
Ste 402
Glen Burnie, MD 21061
Phone (410) 590-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1760024814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616413",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 402",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616437",
            "telephone_number": "410-590-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Lottsford Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207214018",
            "country_code": "US",
            "telephone_number": "205-240-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKARE",
        "first_name": "AKEEM",
        "middle_name": "ADENIYI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "B260038031660",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.