Individual provider Active NPI

Bashar F Kayali, M.D.

  • Pediatrics Physician
  • Logan, OH
National Provider Identifier
1427052299
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35058062 Issued in OH
Practice address
31480 Chieftain Dr
Suite D
Logan, OH 43138-9000
Phone
(740) 385-3069
Fax
(740) 385-0865
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35058062 OH Primary

Addresses

Primary practice location

31480 Chieftain Dr
Suite D
Logan, OH 43138-9000

Mailing address

PO Box 228
Logan, OH 43138-0228
Phone (740) 385-3069

Other identifiers 1

IdentifierTypeStateIssuer
0728225MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35058062OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Medical Group, Inc. Pediatrics Past Accepting new patients
Hocking Valley Medical Group Transportation PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1427052299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380228",
            "telephone_number": "740-385-3069",
            "fax_number": "740-385-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31480 CHIEFTAIN DR",
            "address_2": "SUITE D",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389000",
            "telephone_number": "740-385-3069",
            "fax_number": "740-385-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYALI",
        "first_name": "BASHAR",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35058062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.