Individual provider Active NPI

Shereen Hashmi, MD

  • Internal Medicine Physician
  • Worthington, OH
National Provider Identifier
1033159322
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35063067 Issued in OH
Practice address
439 E Wilson Bridge Rd
Worthington, OH 43085-2320
Phone
(614) 781-1749
Fax
(614) 781-1751
NPI assigned
Jun 7, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35063067 OH Primary

Addresses

Primary practice location

439 E Wilson Bridge Rd
Worthington, OH 43085-2320

Mailing address

PO Box L-3167
Columbus, OH 43260-0001
Phone (614) 781-1749

Other identifiers 1

IdentifierTypeStateIssuer
0904712MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050829001099 OH Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 0840180618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Geriatric Medicine, Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

439 E Wilson Bridge Rd
Worthington, OH 43085-2320
Phone (614) 781-1749

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063067OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis and Osteoporosis Care Center LLC CurrentSince May 1, 2002 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Musculoskeletal Medical Specialists Inc Past Accepting new patients

Locations

Box L3167
Columbus, OH 43260

439 E Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 781-1749

Organizations & group practices 3

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 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1033159322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L-3167",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "614-781-1749",
            "fax_number": "614-781-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 E WILSON BRIDGE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852320",
            "telephone_number": "614-781-1749",
            "fax_number": "614-781-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHMI",
        "first_name": "SHEREEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35063067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904712",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.