NPIMap

Individual provider Active NPI

Shashikant Bhailai Bhavsar, MD

  • Family Medicine Physician
  • Oceana, WV
National Provider Identifier
1114014958
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11044 Issued in WV
Practice address
26 Trinty Lane
Oceana, WV 24870-0400
Phone
(304) 682-6246
Fax
(304) 682-4543
NPI assigned
Oct 5, 2006
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11044 WV Primary

Addresses

Primary practice location

26 Trinty Lane
Oceana, WV 24870-0400

Mailing address

37456 Coal River Rd
Whitesville, WV 25209-0217
Phone (304) 854-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100127000004 WV Practitioner - Family PracticePractitioner - General PracticePractitioner - Dermatology 3870635055 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

26 Trinity LN
Oceana, WV 24870-2600
Phone (304) 682-6246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Nov 13, 2023 Accepting new patients
Madison Medical, PLLC Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Sep 6, 2023 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Sep 6, 2023 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Sep 6, 2023 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7400 Lynn Ave
Hamlin, WV 25523

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

471 Main St
Madison, WV 25130
Phone (304) 369-5170

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

26 Trinity Ln
Oceana, WV 24870
Phone (304) 682-6246

37456 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-1321

Interoperability endpoints

  • Direct secure messaging: shashikant.bhavsar.1@6401.direct.athenahealth.com

Organizations & group practices 10

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 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1114014958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37456 COAL RIVER RD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "252090217",
            "telephone_number": "304-854-1323",
            "fax_number": "304-854-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TRINTY LANE",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248700400",
            "telephone_number": "304-682-6246",
            "fax_number": "304-682-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "SHASHIKANT",
        "middle_name": "BHAILAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceana, WV

Sources for this page

Verify at the official NPI Registry.