Individual provider Active NPI

Marianne Bacharach, MD

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1811916042
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21693 Issued in OK
Practice address
309 S Ann Arbor Ave
Oklahoma City, OK 73128-1112
Phone
(405) 948-4900
Fax
(405) 948-4933
NPI assigned
Jul 19, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21693 OK Primary

Addresses

Primary practice location

309 S Ann Arbor Ave
Oklahoma City, OK 73128-1112

Mailing address

1515 Tower Dr
Moore, OK 73160-6181
Phone (405) 310-0836

Other practice location 1

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-4200

Other names 1

  • Marianne Ingles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20120215000901 OK Practitioner - Emergency Medicine 6002074317 Reassigns benefits to 2 organizations
I20240813002650 TX Practitioner - Emergency Medicine 6002074317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oklahoma American Indian Health Council, Inc.Group PAC ID 3476617374, 60 clinicians

Practice addresses (Care Compare)

5208 W Reno Ave
Oklahoma City Indian Clinic
Oklahoma City, OK 73128-1112
Phone (405) 948-4900

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21693OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma American Indian Health Council, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Allied Wound Care Specialist PLLC CurrentSince Nov 1, 2022 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Jun 28, 2022 Accepting new patients

Locations

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3500 Healthplex Pkwy
Ste 102
Norman, OK 73072
Phone (405) 307-6918

309 S Ann Arbor Ave
Oklahoma City, OK 73128
Phone (405) 948-4900

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

4913 W Reno Ave
Oklahoma City, OK 73127
Phone (405) 948-4900

5208 W Reno Ave
Oklahoma City, OK 73127
Phone (405) 948-4900

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1811916042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TOWER DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606181",
            "telephone_number": "405-310-0836",
            "fax_number": "405-758-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S ANN ARBOR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731281112",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-4200",
            "fax_number": "405-272-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHARACH",
        "first_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "21693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "INGLES",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.