NPIMap

Organization Active NPI

Nephrology Associates of Southwestern Ohio, Inc

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1144482043
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC
Practice address
4760 E Galbraith Rd
#206
Cincinnati, OH 45236-6703
Phone
(513) 863-8212
Fax
(513) 863-8379
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Bhupendra H Mahida, M.D.
Title
President
Phone
(513) 863-8212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

4760 E Galbraith Rd
#206
Cincinnati, OH 45236-6703

Mailing address

3090 McBride CT
Suite B
Hamilton, OH 45011-0811
Phone (513) 863-8212

Other identifiers 1

IdentifierTypeStateIssuer
2288215MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000524 OH Part B Supplier - Clinic/Group Practice 1951298272 Receives reassigned benefits from 10 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Chester, OH; Oxford, OH; Hamilton, OH; Fairfield, OH; Cincinnati, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Assoc of SW Ohio Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2960 Mack Rd
Ste 203
Fairfield, OH 45014
Phone (513) 791-6099

100 Arrow Springs Blvd
Ste 1600
Lebanon, OH 45036
Phone (513) 863-8212

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1144482043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 MCBRIDE CT",
            "address_2": "SUITE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450110811",
            "telephone_number": "513-863-8212",
            "fax_number": "513-863-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "#206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-863-8212",
            "fax_number": "513-863-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MAHIDA",
        "authorized_official_first_name": "BHUPENDRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-863-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2288215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.