Active NPI
Bhaskara R Narra, MD
- Family Medicine Physician
- Elmore, OH
National Provider Identifier
1184602138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35037046
- Practice address
- 3105 S State Route 51
Elmore, OH 43416-9625 - Phone
- (419) 862-2916
- Fax
- (419) 862-1701
- NPI assigned
- Jan 9, 2006
- Last updated
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35037046 | OH | Primary |
Addresses
Primary practice location
3105 S State Route 51
Elmore, OH 43416-9625
Mailing address
PO Box 67
Elmore, OH 43416-0067
Phone (419) 862-2916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0290288 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1184602138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "ELMORE",
"state": "OH",
"postal_code": "434160067",
"telephone_number": "419-862-2916",
"fax_number": "419-862-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 S STATE ROUTE 51",
"city": "ELMORE",
"state": "OH",
"postal_code": "434169625",
"telephone_number": "419-862-2916",
"fax_number": "419-862-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARRA",
"first_name": "BHASKARA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35037046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0290288",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmore, OH
- Stacy M Gerwin
- Gibsonburg Pharmacy Inc (Pills N Packages)
- Harris Township Board of Trustees (Harris Township)
- Ashley Marie Koch, CNP
- Melanie Marie Moore, LPC
- Ravi Narra, MD
- Progressive Therapy Alternatives, Inc (Elmore Physical Therapy)
- Richard J Salander, D.D.S., Inc.
- RS Medical Group (Elmore Medical Associates)
- Richard Joseph Salander, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.