Lawrence Joseph Bahoura, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

036142471 Issued in IL

Practice address

251 E Huron St
Chicago, IL 60611-2908

Phone

(312) 926-2000

NPI assigned

Jun 21, 2012

Sex

Male

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 MI

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

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Huron Valley Radiology PCGroup PAC ID 2961466859, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
• Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbahoura41434@direct.trinity-health.org

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.

• DRS Harris Birkhill Wang Songe & Assoc PC

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1679529978
  Medicare reassignment Care Compare group NPD
• Eastpointe Radiologists, PC

  • Diagnostic Radiology Physician
  • Grosse Pointe Woods, MI
  • NPI 1558409649
  Medicare reassignment Care Compare group NPD
• Huron Valley Radiology PC

  • Diagnostic Radiology Physician
  • Ypsilanti, MI
  • NPI 1659398519
  Medicare reassignment Care Compare group
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815

  MI

  Medicare reassignment NPD
• Grand Traverse Radiologists PC

  • Diagnostic Radiology Physician
  • Traverse City, MI
  • NPI 1760404891
  Medicare reassignment
• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Taylor, MI
  • NPI 1487605168
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Trenton, MI
  • NPI 1740230648
  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1962765289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 AUDUBON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHOURA",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036142471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minni Bahl
• Sarah Sakshi Hingle Bahl, O.D.
• Nadine Bahlawan, DO, MA
• Khojasteh Bahmanbeigi, M.D.
• Delaram Bahmani, OD
• Manya Hadaegh Bahraini, LPC, JD, CDR
• Anahita Bahrami, DO
• Imad Bahrani, DDS
• Neda Bahrani
• Amin Bahreini, MD

• Neuroradiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neuroradiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.