CHRISTINE BAKHOUM
NPI 1063806024
Pediatrics - Pediatric Nephrology in New Haven, CT

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
1 PARK ST, NEW HAVEN, CT 06504(203) 785-4643 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Christine Bakhoum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE BAKHOUM (NPI 1063806024) is an individual pediatric nephrology provider in New Haven, Connecticut, licensed in Connecticut (69561) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063806024
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameCHRISTINE BAKHOUM
Location Address1 PARK STNew Haven, CT 06504-8901
Mailing Address333 Cedar StNew Haven, CT 06510-3206 · (203) 785-4643
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1063806024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in CT · 69561
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
1 PARK ST, New Haven, CT 06504

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christine Bakhoum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820496839
PECOS Enrollment IDI20211005003520
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christine Bakhoum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Audiologist
1 PARK ST
NEW HAVEN, CT 06504
Dentist (Pediatric Dentistry)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Gastroenterology)
1 PARK ST
NEW HAVEN, CT 06504
General Acute Care Hospital (Children)
1 PARK ST
NEW HAVEN, CT 06504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Bakhoum's NPI number?

The NPI number for Christine Bakhoum is 1063806024. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Christine Bakhoum located?

Christine Bakhoum practices at 1 Park St, New Haven, CT 06504. The listed phone number is (203) 785-4643.

What is Christine Bakhoum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Christine Bakhoum enrolled in Medicare?

Yes. Christine Bakhoum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Christine Bakhoum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Bakhoum reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christine Bakhoum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christine Bakhoum accept?

Health plans from Anthem Blue Cross and Blue Shield list Christine Bakhoum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christine Bakhoum was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.