AGNES BAHNG (MD) – Internal Medicine Physician, NPI 1740570100

AGNES BAHNG (MD) is a healthcare provider. based in Reseda, California. specializing in INTERNAL MEDICINE, GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. A128840 (CA). The NPI Number for AGNES BAHNG (MD) is 1740570100

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AGNES BAHNG (MD)
NPI
1740570100
Phone
(818) 342-8171
Address
18625 SHERMAN WAY
Enumeration Date
19 April 2011
Last Update Date
8 December 2022

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8183428171
Graduation Year
2011 (15 years ago)
PAC ID
0941515126
Group Practice PAC ID
2062684335
Professional Enrollment ID
I20150817003005
Address ID
CA913354183RE18625WAYX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for AGNES BAHNG (MD)

  • 18625 SHERMAN WAY

    RESEDA, CA 913354148

    Phone: (818) 342-8171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Exact Sciences Corporation ($69).

Total Amount

$165

General + Research + Ownership

Payments

8

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150817003005IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4229$0
99213Established patient office or other outpatient visit, 20-29 minutes2422$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1717$0
G0444Annual depression screening, 5 to 15 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 91335)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062684335View full group profile
NameSpecialtyState
Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find AGNES BAHNG (MD)'s NPI?
You can confirm AGNES BAHNG (MD) with NPI 1740570100; it appears in the national provider directory.
Is AGNES BAHNG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does AGNES BAHNG (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for AGNES BAHNG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for AGNES BAHNG (MD)?
The page summarizes Reseda, California for AGNES BAHNG (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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