Individual provider Active NPI

Suveer Deepak Bagwe, MD

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, OH
National Provider Identifier
1154531952
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35.152141 Issued in OH
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(614) 257-2000
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.152141 OH Primary
Cardiovascular Disease Physician 207RC0000X 54038 MN

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

7190 Fernridge Dr
New Albany, OH 43054-8423
Phone (612) 868-3142

Other practice location 1

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4887

Other practice location 2

2405 N Columbus St Ste 200
Lancaster, OH 43130-8186
Phone (740) 689-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160830001839 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486840196 Reassigns benefits to 2 organizations
I20250314002230 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4486840196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2405 N Columbus St
Suite 200
Lancaster, OH 43130-8186
Phone (740) 689-4480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince May 4, 2022 Accepting new patients
Fairfield Healthcare Professionals Inc Current Accepting new patients
Allina Health System Current Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Mar 23, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince May 4, 2022 Accepting new patients

Locations

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

2405 N Columbus St
Ste 200
Lancaster, OH 43130
Phone (740) 689-3627

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

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 and National Provider Directory roles.

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1154531952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 FERNRIDGE DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548423",
            "telephone_number": "612-868-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-4887",
            "fax_number": "651-254-1603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 N Columbus St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431308186",
            "country_code": "US",
            "telephone_number": "740-689-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGWE",
        "first_name": "SUVEER",
        "middle_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.152141",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "54038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.