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DR. IRENE FADULLON BAHTA MD
NPI 1710060793
Internal Medicine in Pembroke Pines, FL

Active since October 23, 2006PECOS Enrolled
10794 PINES BLVD, SUITE 203, PEMBROKE PINES, FL 33026(954) 392-5696(954) 392-5668 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irene Fadullon Bahta Md NPPES

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

DR. IRENE FADULLON BAHTA MD (NPI 1710060793) is an individual internal medicine provider in Pembroke Pines, Florida, licensed in Florida (ME71906) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710060793
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. IRENE FADULLON BAHTACredential: MD
Location Address10794 PINES BLVD, SUITE 203Pembroke Pines, FL 33026-3920
Mailing AddressPo Box 260101Pembroke Pines, FL 33026-7101 · (954) 392-5696 · Fax (954) 392-5668
Phone(954) 392-5696
Fax(954) 392-5668
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1710060793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME71906
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10794 PINES BLVD, Pembroke Pines, FL 33026
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Other Identifiers 2

Medicare PIN32755YFL
Medicare UPINGF84257FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Irene Fadullon Bahta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LINA MARIA PETERSON PT
Physical Therapist
10794 PINES BLVD
PEMBROKE PINES, FL 33026
Broward County (954) 447-0296
CONRAD V. HIBBERT, DMD, PA
Dentist (General Practice)
10794 PINES BLVD, BUILDING 1, SUITE 103
PEMBROKE PINES, FL 33026
Broward County (954) 435-6636
NIGEL D. GRANDISON, DMD
Dentist (Pediatric Dentistry)
10794 PINES BLVD, SUITE 101
PEMBROKE PINES, FL 33026
Broward County (954) 432-1607
CONRAD V HIBBERT DMD
Dentist (General Practice)
10794 PINES BLVD, BLDG. #1, SUITE 103
PEMBROKE PINES, FL 33026
Broward County (954) 435-6156
DR. YEMANE B BAHTA MD
Internal Medicine (Infectious Disease)
10794 PINES BLVD, SUITE 203
PEMBROKE PINES, FL 33026
Broward County (954) 392-5696
NIGEL DAVE GRANDISON DMD
Dentist (Pediatric Dentistry)
10794 PINES BLVD, SUITE 101
PEMBROKE PINES, FL 33026
Broward County (954) 916-9060
EZ-PEDIATRICS
Clinic/Center
10794 PINES BLVD, STE 102
PEMBROKE PINES, FL 33026
Broward County (954) 431-8558
MS. SIMONE MARIA BURGOS-JUTERAM ARNP
Nurse Practitioner (Adult Health)
10794 PINES BLVD, BOULEVARD PROFFESSIONAL CENTRE
PEMBROKE PINES, FL 33026
Broward County (954) 704-4988

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 Irene Bahta's NPI number?

The NPI number for Irene Bahta is 1710060793. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Irene Bahta located?

Irene Bahta practices at 10794 Pines Blvd Suite 203, Pembroke Pines, FL 33026. The listed phone number is (954) 392-5696.

What is Irene Bahta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Irene Bahta enrolled in Medicare?

Yes. Irene Bahta is registered in the Medicare PECOS enrollment system.

What insurance does Irene Bahta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Irene Bahta 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 Irene Bahta was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.