Dirk Bahoravitch, MSN, CRNA
NPI 1184083826 · Certified Registered Nurse Anesthetist · Provo, UT
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dirk Bahoravitch, MSN, CRNA is a Certified Registered Nurse Anesthetist provider in Provo, UT (NPI 1184083826).
Provider details
- NPI number
- 1184083826
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 53485 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Frequently asked questions
- What is Dirk Bahoravitch's NPI number?
- Dirk Bahoravitch's National Provider Identifier (NPI) is 1184083826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dirk Bahoravitch's specialty?
- Dirk Bahoravitch is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dirk Bahoravitch located?
- Dirk Bahoravitch's practice location on file with NPPES is 1067 N 500 W, Provo, UT 84604-3305.
- What is Dirk Bahoravitch's phone number?
- The practice phone number listed in the NPPES registry for Dirk Bahoravitch is (801) 374-0354.
- Does Dirk Bahoravitch accept Medicare?
- Dirk Bahoravitch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dirk Bahoravitch's NPI active?
- Yes — Dirk Bahoravitch's NPI (1184083826) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.