Individual provider Active NPI

Javaid M Bashir, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1427071059
Registry record updated Jan 29, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 19, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301047107 Issued in MI
Practice address
1034 4TH St
Multiple Office Locations
Jackson, MI 49203-3060
Phone
(517) 392-1651
Fax
(734) 484-0529
NPI assigned
Jul 25, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301047107 MI
Internal Medicine Physician 207R00000X 4301047107 MI
Cardiovascular Disease Physician 207RC0000X 4301047107 MI Primary

Addresses

Primary practice location

1034 4TH St
Multiple Office Locations
Jackson, MI 49203-3060

Mailing address

1034 4TH St
Jackson, MI 49203-3060
Phone (517) 392-1651

Other identifiers 1

IdentifierTypeStateIssuer
4374715-10MedicaidMI

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
My Home Doctor,P.C. Past Accepting new patients
Home Healthcare Physicians P.C. Family Medicine Past Accepting new patients
M Rashid Siddiqui, MD, PC Family Medicine Past Accepting new patients
Home Physicians Past Accepting new patients
Horizon Emergency Physicians, P. C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1427071059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033060",
            "telephone_number": "517-392-1651",
            "fax_number": "734-484-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 4TH ST",
            "address_2": "MULTIPLE OFFICE LOCATIONS",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033060",
            "telephone_number": "517-392-1651",
            "fax_number": "734-484-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "JAVAID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301047107",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047107",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301047107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4374715-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.