Individual provider Active NPI

Sameer Bipin Bavishi, M.D.

  • Orthopaedic Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1124231204
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01065088A Issued in IN
Practice address
1725 N 5TH St
Terre Haute, IN 47804-4010
Phone
(812) 242-3005
Fax
(812) 242-3054
NPI assigned
May 7, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-117902 IL
Orthopaedic Surgery Physician 207X00000X 01065088A IN Primary

Addresses

Primary practice location

1725 N 5TH St
Terre Haute, IN 47804-4010

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080723000598 IN Practitioner - Orthopedic SurgeryPractitioner - Sports MedicinePractitioner - Other (Physician) 8426121443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Southern Illinois University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1725 N 5TH St
Apands Clinic Bone and Joint Center
Terre Haute, IN 47804-4010
Phone (812) 242-3005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-117902ILMDOrthopaedic Surgery Physician
01065088AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince May 11, 2010 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC Orthopaedic Surgery CurrentSince May 11, 2010 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 S Main St
Clinton, IN 47842
Phone (765) 820-5050

1530 N 7th St
Ste 200
Terre Haute, IN 47807
Phone (812) 238-7631

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

Interoperability endpoints

  • Direct secure messaging: sbavishi@unionhealth.cernerdirect.com

Organizations & group practices 5

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 9

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1124231204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3157",
            "fax_number": "812-242-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005",
            "fax_number": "812-242-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "SAMEER",
        "middle_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-117902",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01065088A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.