Individual provider Active NPI

Shawez Bokhari

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1255345344
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301103713 Issued in MI
Practice address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone
(616) 363-7339
Fax
(616) 361-5828
NPI assigned
Jul 27, 2006
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 231435 NY
Diagnostic Radiology Physician 2085R0202X 4301103713 MI Primary

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339

Other identifiers 1

IdentifierTypeStateIssuer
02683301MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 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
I20130716000134 MI Practitioner - Diagnostic Radiology 2365469699 Reassigns benefits to 1 organization
I20240820000411 TN Practitioner - Diagnostic Radiology 2365469699 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

103 Physicians Way
Suite 100
Lebanon, TN 37090-4129
Phone (615) 443-7436

1840 Medical Ctr Pkwy
Suite 100
Murfreesboro, TN 37129-3237
Phone (615) 890-5858

2018 Murphy Ave
Suite 200
Nashville, TN 37203-1929
Phone (615) 321-7387

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2300

356 24TH Ave N
Nashville, TN 37203-1514
Phone (615) 342-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 28, 2026 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jan 28, 2026 Accepting new patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jan 20, 2024 Accepting new patients
Radiology Consultants PLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Tennessee Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Physicians of University Hospital, PC Past Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology Past Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients
Verrazano Radiology Asociates, PC Diagnostic Radiology Past Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients
Decatur Radiology Physicians Services PLLC Diagnostic Radiology Past Accepting new patients
Goethals Radiology PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

5350 Beckley Rd
Ste C
Battle Creek, MI 49015
Phone (269) 979-9400

5352 Beckley Rd
Ste A
Battle Creek, MI 49015
Phone (269) 979-6800

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

103 Physicians Way
Ste 100
Lebanon, TN 37090
Phone (615) 443-7436

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

1840 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-0488

2018 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 320-7387

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

2201 Murphy Ave
Nashville, TN 37203
Phone (615) 327-4208

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

322 22nd Ave N
Ste 140
Nashville, TN 37203
Phone (615) 320-5090

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1255345344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339",
            "fax_number": "616-361-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "SHAWEZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "231435",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301103713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02683301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.