Organization Active NPI

Primary Care Associates Inc

  • Internal Medicine Physician
  • Amelia, OH
National Provider Identifier
1154617736
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE ASSOCIATES INC
Practice address
1324 State Route Suite 125
Amelia, OH 45102-0015
Phone
(513) 752-0004
Fax
(513) 752-0731
NPI assigned
Jun 22, 2011
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Naburn Sarkar, MD
Title
Ceo
Phone
(513) 752-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1324 State Route Suite 125
Amelia, OH 45102-0015

Mailing address

P.O. Box 645062
Cincinnati, OH 45264-5062
Phone (513) 752-0004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111201000338 OH Part B Supplier - Clinic/Group Practice 6204000276 Receives reassigned benefits from 1 practitioner
Practice locations: Amelia, OH

National Provider Directory

National Provider Directory

Locations

1324 State Route 125
Ste 101
Amelia, OH 45102
Phone (513) 752-0004

Practitioners & affiliated clinicians

Practitioners 3

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1154617736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 645062",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645062",
            "telephone_number": "513-752-0004",
            "fax_number": "513-752-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STATE ROUTE SUITE 125",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451020015",
            "telephone_number": "513-752-0004",
            "fax_number": "513-752-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "SARKAR",
        "authorized_official_first_name": "NABURN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-752-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.