Individual provider Active NPI

Bijan Bastani, M.D.

  • Specialist
  • Beachwood, OH
National Provider Identifier
1780629345
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-048517 Issued in OH
Practice address
24800 Highpoint Rd
Beachwood, OH 44122-6041
Phone
(216) 831-6611
Fax
(216) 831-2726
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-048517 OH Primary

Addresses

Primary practice location

24800 Highpoint Rd
Beachwood, OH 44122-6041

Mailing address

24800 Highpoint Rd
Beachwood, OH 44122-6041
Phone (216) 831-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120803000266 OH Practitioner - Psychiatry 9739335951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners for Behavioral Health and Wellness IncGroup PAC ID 6305088972, 22 clinicians

Practice addresses (Care Compare)

24800 Highpoint Rd
Suite a
Beachwood, OH 44122-6043

24800 Highpoint Rd
Suite a
Beachwood, OH 44122-6051

24800 Highpoint Rd a
Beachwood, OH 44122-6043

24800 Highpoint Rd a
Beachwood, OH 44122-6051
Phone (216) 342-5496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-048517OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Sep 14, 2013 Accepting new patients
Psychological & Behavioral Consultants, LLC PastSince Mar 1, 2000 Accepting new patients
North East Ohio Health Services Past Accepting new patients

Locations

24800 Highpoint Rd
Beachwood, OH 44122
Phone (216) 342-5496

24800 Highpoint Rd
Ste A
Beachwood, OH 44122
Phone (216) 342-5496

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1780629345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226041",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226041",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANI",
        "first_name": "BIJAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-048517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.