NPIMap

Individual provider Active NPI

Amarjeet S Birdi, MD

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1023046190
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35072744 Issued in OH
Practice address
627 S Edwin C Moses Blvd
Suite G
Dayton, OH 45417-3461
Phone
(937) 424-1000
Fax
(937) 424-1002
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35072744 OH Primary

Addresses

Primary practice location

627 S Edwin C Moses Blvd
Suite G
Dayton, OH 45417-3461

Mailing address

10343 Yellow Locust LN
Centerville, OH 45458-9470
Phone (937) 602-1861

Other identifiers 3

IdentifierTypeStateIssuer
PO1068642OtherMEDICARE RAIL ROAD
2031269MedicaidOH
H125600OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000356 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5799819777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Dayton, OH 45458
Phone (937) 602-1861

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072744OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huber Heights Holdings, LLC Current Accepting new patients
Probehavioral LLC Psychiatry CurrentSince Jun 8, 2024 Accepting new patients
Amita R. Patel, M.D., Inc. CurrentSince Nov 1, 1997 Accepting new patients
Am Behavioral Outpatient LLC CurrentSince Nov 19, 2023 Accepting new patients
Dayton Behavioral Care, LLC Psychiatry PastSince May 1, 2026 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Huber Heights Holdings, LLC Past Accepting new patients

Locations

627 S Edwin C Moses Blvd
Ste G
Dayton, OH 45417
Phone (937) 424-1000

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1023046190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10343 YELLOW LOCUST LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454589470",
            "telephone_number": "937-602-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S EDWIN C MOSES BLVD",
            "address_2": "SUITE G",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173461",
            "telephone_number": "937-424-1000",
            "fax_number": "937-424-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDI",
        "first_name": "AMARJEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35072744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "PO1068642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031269",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H125600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.