Organization Active NPI

Fred Bakht MD PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1821375817
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0895 Issued in TX
Legal business name
FRED BAKHT MD PA
Practice address
2450 Fondren Rd
Suite 105
Houston, TX 77063-2318
Phone
(713) 412-2860
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Fred Bakht, MD
Title
Practitioner
Phone
(713) 412-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G0895 TX Primary

Addresses

Primary practice location

2450 Fondren Rd
Suite 105
Houston, TX 77063-2318

Mailing address

2450 Fondren Rd
Suite 105
Houston, TX 77063-2318
Phone (713) 412-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000095 TX Part B Supplier - Clinic/Group Practice 0446411466 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2033658Fred Bakht MD PA2450 Fondren Ste 125, Houston, TX 77063Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

2450 Fondren Rd
Ste 105
Houston, TX 77063
Phone (713) 395-2080

2450 Fondren Rd
Ste 125
Houston, TX 77063
Phone (713) 782-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1821375817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "713-412-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "713-412-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED BAKHT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BAKHT",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "713-412-2860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.