Individual provider Active NPI

Neil Bakshi, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Livonia, MI
National Provider Identifier
1790165447
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
11741853-1205 Issued in UT
Practice address
19000 St Joes Pkwy
Livonia, MI 48152-1339
Phone
(801) 587-5400
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301107989 MI
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 11741853-1205 UT Primary

Addresses

Primary practice location

19000 St Joes Pkwy
Livonia, MI 48152-1339

Mailing address

19000 St Joe'S Pkwy
Livonia, MI 48152
Phone (734) 637-6481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200612000798 UT Practitioner - Orthopedic Surgery 5496063109 Reassigns benefits to 2 organizations
I20210809000175 MI Practitioner - Orthopedic Surgery 5496063109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
Iha Olma Specialty 1 LLCGroup PAC ID 6901206689, 67 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Livonia, MI 48152-1477

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

5315 Elliott Dr
Ypsilanti, MI 48197-8634

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Adult Services CurrentSince May 8, 2020 Accepting new patients
University of Utah Pediatric Services CurrentSince May 8, 2020 Accepting new patients
University of Utah Pediatric Services CurrentSince May 8, 2020 Accepting new patients
Iha Olma Specialty 1 LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Sep 1, 2021 Accepting new patients
Iha Olma Specialty 1 LLC Current Accepting new patients
University of Utah Adult Services Orthopaedic Surgery CurrentSince May 8, 2020 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 494-6881

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Ste 400
Livonia, MI 48152
Phone (734) 426-1931

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005

Interoperability endpoints

  • Direct secure messaging: nbakshi43427@direct.trinity-health.org

Organizations & group practices 10

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 3

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1790165447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 ST JOE'S PKWY",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-637-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521339",
            "telephone_number": "801-587-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSHI",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301107989",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "UT",
            "license": "11741853-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.