NPIMap

Individual provider Active NPI

Fady A. El-Bahri, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1780778308
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0046697 Issued in FL
Practice address
6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216
Phone
(904) 739-0050
NPI assigned
Oct 3, 2006
Last updated
Jun 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0046697 FL Primary

Addresses

Primary practice location

6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216

Mailing address

6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216
Phone (904) 739-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000205 FL Practitioner - Orthopedic Surgery 0941196943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Bahri Orthopedics and Sports Medicine Clinic, P.L.Group PAC ID 8527954510, 4 clinicians
Bahri Orthopedics InstituteGroup PAC ID 5698015360, 2 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

484 Riverside Ave
Jacksonville, FL 32202-4912

6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216-4376
Phone (904) 739-0050

6100 Kennerly Rd
Suite 202
Jacksonville, FL 32216-4379
Phone (904) 619-3048

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046697FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heekin Clinic LLC Orthopaedic Surgery Current Accepting new patients
Ortho One Current Accepting new patients

Locations

1045 Riverside Ave
Ste 100
Jacksonville, FL 32204
Phone (904) 202-1784

6100 Kennerly Rd
Ste 202
Jacksonville, FL 32216
Phone (904) 619-3048

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1780778308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-739-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-739-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-BAHRI",
        "first_name": "FADY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0046697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.