Active NPI
Shawez Bokhari
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301103713
- 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, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02683301 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Tristar Skyline Medical Center
- Tristar Centennial Medical Center
- Tristar Summit Medical Center
- Tristar Greenview Regional Hospital
- Tristar Horizon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Lebanon Pet Scan Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Alliance Nashville Pet LLC | Current | Accepting new patients | |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants PLC | Diagnostic Radiology | Current | Accepting new patients |
| Tennessee Pet Scan Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tennessee Oncology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | 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 | Past | 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.
-
dba Mid-State Radiology
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Battle Creek, MI
- NPI 1598717431
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1083266761
-
dba Clarksville Imaging Center
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
-
- Radiology Clinic/Center
- Nashville, TN
- NPI 1285619270
-
- Diagnostic Radiology Physician
- Lebanon, TN
- NPI 1114551132
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1770620759
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1699724260
-
- Diagnostic Radiology Physician
- Decatur, IL
- NPI 1881640977
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1962492546
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
-
dba Tristar Centennial Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
dba Tristar Summit Medical Center
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
dba Tristar Skyline Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1295780476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.