Individual provider Active NPI

Behrooz Banihashemi, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1891032512
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134421 Issued in CA
Practice address
4550 California Ave 500
Bakersfield, CA 93309-7020
Phone
(661) 716-7100
Fax
(661) 716-5484
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A134421 CA Primary

Addresses

Primary practice location

4550 California Ave 500
Bakersfield, CA 93309-7020

Mailing address

4550 California Ave 500
Bakersfield, CA 93309-7020
Phone (661) 716-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731016138 CA Practitioner - HospitalistPractitioner - Internal Medicine 3476867664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134421CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Mar 17, 2019 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1891032512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 CALIFORNIA AVE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097020",
            "telephone_number": "661-716-3484",
            "fax_number": "661-716-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CALIFORNIA AVE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097020",
            "telephone_number": "661-716-7100",
            "fax_number": "661-716-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIHASHEMI",
        "first_name": "BEHROOZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.