Organization Active NPI

Bluemed LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Dayton, OH
National Provider Identifier
1003700717
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
BLUEMED LLC
Practice address
467 Lighthouse TRL
Dayton, OH 45458-3643
Phone
(571) 225-8881
Fax
(937) 534-0166
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ehsan Shabbir, MDNPI 1518309616
Title
President
Phone
(571) 225-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

467 Lighthouse TRL
Dayton, OH 45458-3643

Mailing address

467 Lighthouse TRL
Dayton, OH 45458-3643
Phone (571) 225-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624002459 OH Part B Supplier - Clinic/Group Practice 3779095914 Receives reassigned benefits from 4 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1003700717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 LIGHTHOUSE TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583643",
            "telephone_number": "571-225-8881",
            "fax_number": "937-534-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 LIGHTHOUSE TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583643",
            "telephone_number": "571-225-8881",
            "fax_number": "937-534-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "SHABBIR",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-225-8881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.