Individual provider Active NPI

Ambareen A. Bharmal, M.D.

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1114018454
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-123631 Issued in OH
Practice address
5350 N Meadows Dr
Suite 160
Grove City, OH 43123-2546
Phone
(614) 875-3592
Fax
(614) 875-8258
NPI assigned
Sep 28, 2006
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10008017 DE
Family Medicine Physician 207Q00000X 247240-1 NY
Family Medicine Physician 207Q00000X 35-123631 OH Primary

Addresses

Primary practice location

5350 N Meadows Dr
Suite 160
Grove City, OH 43123-2546

Mailing address

5350 N Meadows Dr
Suite 160
Grove City, OH 43123-2546
Phone (614) 875-3592

Other identifiers 2

IdentifierTypeStateIssuer
1000041375MedicaidDE
00695941MedicaidNY

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
I20141124000309 OH Practitioner - Family PracticePractitioner - General Practice 6800898578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

5775 Perimeter Dr
Suite 100
Dublin, OH 43017-3269
Phone (614) 627-2720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10008017DEMDFamily Medicine Physician
247240-1NYMDFamily Medicine Physician
35-123631OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3000 Meadow Pond Ct
Ste 100
Grove City, OH 43123
Phone (614) 663-4020

5350 N Meadows Dr
Ste 160
Grove City, OH 43123
Phone (614) 663-4020

4674 Britton Pkwy
Hilliard, OH 43026
Phone (614) 210-4530

4674 Britton Pkwy
Ste 2200
Hilliard, OH 43026
Phone (614) 210-4555

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: abharmal1147875@direct.trinity-health.org

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 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1114018454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 N MEADOWS DR",
            "address_2": "SUITE 160",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-875-3592",
            "fax_number": "614-875-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 N MEADOWS DR",
            "address_2": "SUITE 160",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-875-3592",
            "fax_number": "614-875-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARMAL",
        "first_name": "AMBAREEN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10008017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247240-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-123631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000041375",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.