Poopak Ghassemi Bakhtiari, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

D006324 Issued in MD

Practice address

1613 Harrison Pkwy
BLDG C, Suite 200
Sunrise, FL 33323-2896

Phone

(954) 838-2502

Fax

(954) 514-3903

NPI assigned

Jul 6, 2006

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advance Wound Care LLC

  • Specialist
  • Coral Gables, FL
  • NPI 1336946854
  Medicare reassignment NPD
• Sheridan Emergency Physician Services of South Dade Inc

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1346287166
  Medicare reassignment NPD
• Emergency Medicine Physicians of Lenoir County PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1518906478
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1912939513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "BLDG C, SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "BLDG C, SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2502",
            "fax_number": "954-514-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASSEMI BAKHTIARI",
        "first_name": "POOPAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MD",
            "license": "D006324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Sue George, MD
• Angela German, PHD
• Dora M Gervasi
• Steven George Gevas, MD
• Gargi Gharat
• Naiylla Ghold
• Wendy J. Gibson, CRNA
• Julissa Gil
• Alyse Michelle Gilbert, PSY.D.
• Samantha Gilbert

• Emergency Medical Services (Emergency Medicine) Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.