Organization Active NPI

Springfield Pulmonary Inc

  • Pulmonary Disease Physician
  • Springfield, OH
National Provider Identifier
1174680870
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SPRINGFIELD PULMONARY INC
Practice address
2615 E High St
Suite 1350
Springfield, OH 45505-1412
Phone
(937) 322-4352
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Shahid Bashir, M.D.NPI 1982751244
Title
Physician
Phone
(937) 328-8958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X OH Primary

Addresses

Primary practice location

2615 E High St
Suite 1350
Springfield, OH 45505-1412

Mailing address

2615 E High St
Suite 1350
Springfield, OH 45505-1412
Phone (937) 322-4352

Other identifiers 1

IdentifierTypeStateIssuer
0263058MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000269 OH Part B Supplier - Clinic/Group Practice 5597830273 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, OH

National Provider Directory

National Provider Directory

Locations

2624 Lexington Ave
Ste 210
Springfield, OH 45505
Phone (937) 322-5900

30 W McCreight Ave
Ste 104
Springfield, OH 45504
Phone (937) 328-8958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174680870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E HIGH ST",
            "address_2": "SUITE 1350",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051412",
            "telephone_number": "937-322-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E HIGH ST",
            "address_2": "SUITE 1350",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051412",
            "telephone_number": "937-322-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PULMONARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-328-8958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.