Reza Bayati, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C52426 Issued in CA

Practice address

1 Medical Plaza Dr
Wound Care Clinic
Roseville, CA 95661-3037

Phone

(916) 781-1386

Fax

(916) 781-1456

NPI assigned

Oct 19, 2006

Last updated

Dec 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: 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

Interoperability endpoints

• Direct secure messaging: rbayatimd19184@hisp.ehr.sutterhealth.org

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.

• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Internal Medicine

  Medicare reassignment NPD
• R Bayati MD PC

  • Clinic/Center
  • Rocklin, CA
  • NPI 1568679785

  Medical Specialty

  NPD Authorized official
• Ray Bayati MD PC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1366680282
  Authorized official Same address or phone
• Associates in Medicine PC

  • Internal Medicine Physician
  • Berkley, MI
  • NPI 1366488967
  NPD (past)
• Cardiology and Vascular Associates PC

  dba Medical Care corporation

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
  • NPI 1740473396
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1962584920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WARD LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772842",
            "telephone_number": "916-500-2474",
            "fax_number": "916-626-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "address_2": "WOUND CARE CLINIC",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-781-1386",
            "fax_number": "916-781-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYATI",
        "first_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301066754",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Bauer, MS
• Marisa Bauer, PHARM.D.
• Jenalee Baughman
• Marie Baumrucker
• Bay Area Foot Care, Inc (Bay Area Foot Care)
• Bayside Counseling Center Inc
• William A Beacham, CADC-II
• Daniel C Beal, D.C.
• Brenda Burten Beale
• Sarah Beale

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.