Active NPI
Nasreen A Bhumbra, M.D.
- Pediatric Infectious Diseases Physician
- Toledo, OH
National Provider Identifier
1124000815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 35047866
- Practice address
- 2222 Cherry St
Ste 2300
Toledo, OH 43608-2673 - Phone
- (419) 251-8065
- Fax
- (419) 251-7715
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 35047866 | OH | Primary |
Addresses
Primary practice location
2222 Cherry St
Ste 2300
Toledo, OH 43608-2673
Mailing address
3355 Glendale Ave
3Rd Floor
Toledo, OH 43614-2426
Phone (419) 383-7146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0538458 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047866 | OH | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1124000815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 GLENDALE AVE",
"address_2": "3RD FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-7146",
"fax_number": "419-383-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CHERRY ST",
"address_2": "STE 2300",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082673",
"telephone_number": "419-251-8065",
"fax_number": "419-251-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUMBRA",
"first_name": "NASREEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "OH",
"license": "35047866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0538458",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.