Individual provider Active NPI

Bashir M Ulvi, M.D.

  • Specialist
  • Parma Heights, OH
National Provider Identifier
1366533416
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35033541 Issued in OH
Practice address
6929 W 130TH St Ste 103
Parma Heights, OH 44130-7822
Phone
(440) 263-7564
Fax
(440) 838-5625
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35033541 OH Primary

Addresses

Primary practice location

6929 W 130TH St Ste 103
Parma Heights, OH 44130-7822

Mailing address

6929 W 130TH St Ste 103
Parma Heights, OH 44130-7822
Phone (440) 263-7564

Other identifiers 2

IdentifierTypeStateIssuer
34-1376009-00OtherOHWORKER'S COMPENSATION
0271307MedicaidOH

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

LicenseStateTypeSpecialty
35033541OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1366533416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 103",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307822",
            "telephone_number": "440-263-7564",
            "fax_number": "440-838-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 103",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307822",
            "telephone_number": "440-263-7564",
            "fax_number": "440-838-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULVI",
        "first_name": "BASHIR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35033541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "34-1376009-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.