Roohi Shahjahan Bakhath, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A174575 Issued in CA

Practice address

1510 Florida Ave Ste B
Modesto, CA 95350-4437

Phone

(866) 682-4842

Fax

(877) 435-6573

NPI assigned

Jun 22, 2018

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: roohi.bakhath.p1@direct.ntachc.nextgenshare.com

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• North Texas Area Community Health Centers, Inc.

  dba Northside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Worth, TX
  • NPI 1568420800
  Medicare reassignment NPD
• Golden Valley Health Centers

  dba GVHC Pharmacy

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Merced, CA
  • NPI 1255339644
  NPD
• North Texas Area Community Health Centers, Inc

  dba North Texas Area Community Health Centers Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1417438243
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1871088799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "866-682-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FLORIDA AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504437",
            "telephone_number": "866-682-4842",
            "fax_number": "877-435-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHATH",
        "first_name": "ROOHI SHAHJAHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A174575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Sumpter Baker
• Shelby Baker
• Stanley Dale Baker, D.D.S.
• Steven C Baker, M.D.
• Tylen Baker
• Terrilyn Marie Balaam
• Naoum A Baladi, M.D.
• Ashwin Aravinthan Balaguru
• Brittney Balaoing
• Sandra Balderas Perez

• Pediatrics Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.