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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HAYSAM BAHO M.D.
NPI 1710110366
Pediatrics - Pediatric Cardiology in Manassas, VA

Active since August 31, 2009PECOS Enrolled
9548 SURVEYOR CT, MANASSAS, VA 20110(703) 369-9090(703) 392-9646 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Sep 20, 2024, Sep 13, 2024 (3 updates tracked since 2024).

About Dr. Haysam Baho M.d. NPPES

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

DR. HAYSAM BAHO M.D. (NPI 1710110366) is an individual pediatric cardiology provider in Manassas, Virginia, licensed in New Mexico (MD2024-0880) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710110366
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. HAYSAM BAHOCredential: M.D.
Location Address9548 SURVEYOR CTManassas, VA 20110-4406
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (703) 724-4408
Phone(703) 369-9090
Fax(703) 392-9646
Sole ProprietorNo
Enumeration DateAugust 31, 2009
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1710110366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NM · MD2024-0880
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
9548 SURVEYOR CT, Manassas, VA 20110
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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. Haysam Baho M.d. 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.

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 Haysam Baho's NPI number?

The NPI number for Haysam Baho is 1710110366. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Haysam Baho located?

Haysam Baho practices at 9548 Surveyor Ct, Manassas, VA 20110. The listed phone number is (703) 369-9090.

What is Haysam Baho's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Haysam Baho enrolled in Medicare?

Yes. Haysam Baho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haysam Baho was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.