Individual provider Active NPI

Anwer Aldhaheri

  • General Practice Physician
  • Marion, OH
National Provider Identifier
1093372096
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.143525 Issued in OH
Practice address
175 Edgefield Blvd
Marion, OH 43302-7821
Phone
(740) 914-4178
NPI assigned
May 24, 2019
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

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

Addresses

Primary practice location

175 Edgefield Blvd
Marion, OH 43302-7821

Mailing address

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

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
I20211020002470 OH Practitioner - General Practice 3577951789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5092980730, 66 clinicians
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Oct 6, 2021 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Nov 14, 2022 Accepting new patients
Vohra Wound Physicians of FL, LLC General Practice CurrentSince Nov 14, 2022 Accepting new patients
Incare Health Solutions, LLC CurrentSince 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
Maumee, OH 43537
Phone (513) 272-0600

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

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

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1093372096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EDGEFIELD BLVD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027821",
            "telephone_number": "740-914-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EDGEFIELD BLVD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027821",
            "telephone_number": "740-914-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDHAHERI",
        "first_name": "ANWER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.143525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.