Active NPI
Timmappa Pandappa Bidari, M.D.
- Specialist
- Parma, OH
National Provider Identifier
1285655324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OH35036806B
- Practice address
- 6820 Ridge Rd
Suite 204
Parma, OH 44129-5646 - Phone
- (440) 887-9570
- Fax
- (440) 887-9572
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OH35036806B | OH | Primary |
Addresses
Primary practice location
6820 Ridge Rd
Suite 204
Parma, OH 44129-5646
Mailing address
6820 Ridge Rd
Suite 204
Parma, OH 44129-5646
Phone (440) 887-9570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000165156 | Other | OH | ANTHEM BC/BS |
| 0262513 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH35036806B | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285655324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 RIDGE RD",
"address_2": "SUITE 204",
"city": "PARMA",
"state": "OH",
"postal_code": "441295646",
"telephone_number": "440-887-9570",
"fax_number": "440-887-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 RIDGE RD",
"address_2": "SUITE 204",
"city": "PARMA",
"state": "OH",
"postal_code": "441295646",
"telephone_number": "440-887-9570",
"fax_number": "440-887-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDARI",
"first_name": "TIMMAPPA",
"middle_name": "PANDAPPA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "OH35036806B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000165156",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0262513",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.