NPIMap

Individual provider Active NPI

Mohammad Asem Bakkar, M.D.

  • Surgery Physician
  • Glenwood Springs, CO
National Provider Identifier
1821327438
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56139 Issued in CO
Practice address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone
(206) 930-5885
NPI assigned
Dec 9, 2009
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 51262 MT
Surgery Physician 208600000X 56139 CO Primary

Addresses

Primary practice location

1906 Blake Ave
Glenwood Springs, CO 81601-4227

Mailing address

1334 Sage Ridge Road
Box 2614
Meeker, CO 81641
Phone (206) 930-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160205000553 CO Practitioner - General Surgery 2668776097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1338 Phay Ave
BLDG D
Canon City, CO 81212-2326
Phone (719) 285-2760

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56139COMDSurgery Physician
51262MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Jan 1, 2017 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association CurrentSince Jan 1, 2017 Accepting new patients
Valley View Hospital Association Surgery CurrentSince Mar 5, 2017 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 11

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 5

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1821327438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 SAGE RIDGE ROAD",
            "address_2": "BOX 2614",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "81641",
            "telephone_number": "206-930-5885",
            "fax_number": "425-930-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "206-930-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKAR",
        "first_name": "MOHAMMAD",
        "middle_name": "ASEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "51262",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "56139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.