Anwer Aldhaheri

Individual provider Active NPI General Practice Physician · Marion, OH

NPI 1093372096 · NPPES record last updated Oct 1, 2021

Key facts

NPI
1093372096
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
35.143525 (OH)
Practice address
175 Edgefield Blvd
Marion, OH 43302-7821
Phone
(740) 914-4178
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Incare Health Solutions LLC (66 clinicians)
Vohra Wound Physicians of FL LLC (73 clinicians)

Practice addresses (Care Compare)

1107 S Main St
Suite 300
Bowling Green, OH 43402-4703
Phone (419) 806-4222

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (954) 399-4673

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue514
Removal of skin lesions1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211020002470 OH Practitioner - General Practice 3577951789 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Current
since Nov 14, 2022
Accepting new patients
Vohra Wound Physicians of FL, LLC General Practice Current
since Nov 14, 2022
Accepting new patients
Incare Health Solutions LLC Current
since Oct 6, 2021
Accepting new patients
Incare Health Solutions, LLC Current
since Oct 6, 2021
Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

1715 Indian Wood Cir
Maumee, OH 43537
Phone (513) 272-0600

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 35.143525 OH Yes

Addresses

Primary practice location

175 Edgefield Blvd
Marion, OH 43302-7821

Mailing address

175 Edgefield Blvd
Marion, OH 43302-7821
Phone (740) 914-4178

Other providers in Marion, OH

All providers in Marion, OH · General Practice Physician in Ohio

Sources for this page

Verify at the official NPI Registry.