Active NPI
Jinan O Bahia, MD
- Diagnostic Radiology Physician
- Harrisburg, PA
National Provider Identifier
1922091404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD039287L
- Practice address
- 4518 Union Deposit Rd
Harrisburg, PA 17111-2921 - Phone
- (717) 652-5840
- Fax
- (717) 652-8152
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD039287L | PA | Primary |
Addresses
Primary practice location
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Mailing address
4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300060833 | Other | PA | RAILROAD MEDICARE |
| 0010574560001 | Medicaid | PA | |
| 0010574560019 | Medicaid | PA | |
| 0010574560020 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039287L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Olney & Rudy Nicolas PTRS | Diagnostic Radiology | Past | Accepting new patients |
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": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1922091404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112910",
"telephone_number": "717-652-6105",
"fax_number": "717-652-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112921",
"telephone_number": "717-652-5840",
"fax_number": "717-652-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHIA",
"first_name": "JINAN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD039287L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300060833",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010574560001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010574560019",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010574560020",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.