Individual provider Active NPI

Muhammad H Bashir, MD

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1114230430
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
070340 Issued in GA
Practice address
385 Hawthorne LN Ste 200
Athens, GA 30606-2100
Phone
(706) 543-3130
Fax
(706) 543-3215
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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 070340 GA Primary

Addresses

Primary practice location

385 Hawthorne LN Ste 200
Athens, GA 30606-2100

Mailing address

385 Hawthorne LN Ste 200
Athens, GA 30606-2100
Phone (706) 543-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130903000274 GA Practitioner - NephrologyPractitioner - Internal Medicine 1456485549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidneyclinic of AthensGroup PAC ID 4284713140, 4 clinicians

Practice addresses (Care Compare)

385 Hawthorne LN
Athens, GA 30606-2100
Phone (706) 543-3130

Hospital & facility affiliations

  • DaVita Athens East Dialysis Dialysis facility, Athens, GA, CCN 112789
  • DaVita Lake Hartwell Dialysis Dialysis facility, Hartwell, GA, CCN 112854
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070340GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidneyclinic of Athens CurrentSince Aug 1, 2013 Accepting new patients
Classic City Internal Medicine Past Accepting new patients

Locations

385 Hawthorne Ln
Ste 200
Athens, GA 30606
Phone (706) 543-3130

Interoperability endpoints

  • Direct secure messaging: muhammad.bashir.1@18823.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCADA/Endpoint/BJCADA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1114230430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "MUHAMMAD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "070340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.