Individual provider Active NPI

Ivo Bach, M.D.

  • Vascular Neurology Physician
  • White Plains, NY
National Provider Identifier
1881120954
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
3311841 Issued in NY
Practice address
122 Maple Ave FL 8
White Plains, NY 10601-4706
Phone
(914) 849-5300
NPI assigned
May 10, 2017
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3311841 NY
Neurology Physician 2084N0400X 25MA11204200 NJ
Vascular Neurology Physician 2084V0102X 25MA11204200 NJ
Vascular Neurology Physician 2084V0102X 3311841 NY Primary

Addresses

Primary practice location

122 Maple Ave FL 8
White Plains, NY 10601-4706

Mailing address

122 Maple Ave # 837
White Plains, NY 10601-4706
Phone (914) 849-5300

Other names 1

  • Dr. Ivo Bach-Bachich Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001468 NY Practitioner - Neurology 8729511456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11204200NJMDNeurology Physician
3311841NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Neurology CurrentSince Sep 24, 2024 Accepting new patients
East Post Road Medical Services PC Neurology CurrentSince Sep 24, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

122 Maple Ave
#837
White Plains, NY 10601

122 Maple Ave
Fl 8
White Plains, NY 10601
Phone (914) 787-3297

122 Maple Ave
Ste 242
White Plains, NY 10601

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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 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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1881120954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MAPLE AVE # 837",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014706",
            "telephone_number": "914-849-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLE AVE FL 8",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014706",
            "telephone_number": "914-849-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "IVO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "3311841",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11204200",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NJ",
            "license": "25MA11204200",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "3311841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVO",
            "last_name": "BACH-BACHICH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.