Individual provider Active NPI

Haridas Biswas, MD

  • Cardiovascular Disease Physician
  • Perrysburg, OH
National Provider Identifier
1306850375
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45032 Issued in OH
Practice address
11201 Sandusky St
101
Perrysburg, OH 43551
Phone
(419) 874-2263
Fax
(419) 874-1879
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 45032 OH Primary

Addresses

Primary practice location

11201 Sandusky St
101
Perrysburg, OH 43551

Mailing address

11201 Sandusky St
101
Perrysburg, OH 43551
Phone (419) 874-2263

Other identifiers 1

IdentifierTypeStateIssuer
0512592MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000176 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911916150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45032OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince May 11, 2013 Accepting new patients
The Toledo Hospital Current Accepting new patients
The Toledo Hospital CurrentSince May 11, 2013 Accepting new patients

Locations

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1306850375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SANDUSKY ST",
            "address_2": "101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-874-2263",
            "fax_number": "419-874-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SANDUSKY ST",
            "address_2": "101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-874-2263",
            "fax_number": "419-874-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "HARIDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "45032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.