Individual provider Active NPI

Samir Mewar, M.D.

  • Specialist
  • Columbus, GA
National Provider Identifier
1013019512
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
049064 Issued in GA
Practice address
2300 Manchester Expy Ste 1001
Butler Pavilion
Columbus, GA 31904-6802
Phone
(706) 322-0528
Fax
(706) 322-2080
NPI assigned
Sep 4, 2006
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 049064 GA Primary
Specialist 174400000X 23490 AL
Cardiovascular Disease Physician 207RC0000X 049064 GA
Interventional Cardiology Physician 207RI0011X 049064 GA

Addresses

Primary practice location

2300 Manchester Expy Ste 1001
Butler Pavilion
Columbus, GA 31904-6802

Mailing address

2300 Manchester Expy Ste 1001
Butler Pavilion
Columbus, GA 31904-6802
Phone (706) 322-0528

Other identifiers 5

IdentifierTypeStateIssuer
009985570OtherALALABAMA MEDICAID
8566805-001OtherCIGNA PROVIDER NUMBER
814579OtherGABCBS PROVIDER NUMBER
00878193AMedicaidGA
060062938OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000059 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042223026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chhokar ClinicGroup PAC ID 6800883463, 4 clinicians

Practice addresses (Care Compare)

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

2300 Manchester Expy
Suite 1001
Columbus, GA 31904-6877
Phone (706) 322-0528

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.94
Improvement activities
40
Cost
81.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23490ALMDSpecialist
049064GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Nov 12, 2013 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Nov 12, 2013 Accepting new patients
St Francis Physician Practices LLC Cardiovascular Disease Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste 1001
Columbus, GA 31904
Phone (706) 322-0528

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
#81
Columbus, GA 31901
Phone (706) 571-1527

Networks

  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFAJDD/Endpoint/IFAJDD
  • Direct secure messaging: samir.mewar@direct.chhokarclinic.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1013019512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1001",
            "address_2": "BUTLER PAVILION",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-322-0528",
            "fax_number": "706-322-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1001",
            "address_2": "BUTLER PAVILION",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-322-0528",
            "fax_number": "706-322-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWAR",
        "first_name": "SAMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049064",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "23490",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "049064",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "049064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAID",
            "identifier": "009985570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "8566805-001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "814579",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00878193A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060062938",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.