Active NPI
Bashar Kiami, M.D.
- Internal Medicine Physician
- Grayling, MI
National Provider Identifier
1457381543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301063746
- Practice address
- 201 Meadows Dr
Grayling, MI 49738-2014 - Phone
- (989) 745-6601
- Fax
- (989) 745-6605
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301063746 | MI | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301063746 | MI |
Addresses
Primary practice location
201 Meadows Dr
Grayling, MI 49738-2014
Mailing address
201 Meadows
Grayling
Grayling, MI 49738-7131
Phone (989) 745-6601
Other practice location 1
1200 West North Down River Rd
Grayling
Grayling, MI 49738-7131
Phone (989) 745-6601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4578241 | Medicaid | MI | |
| 4174554 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nme@eclinicalworks.com |
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
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063746 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Grayling | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Health Cancer Center
- Hematology & Oncology Physician
- Grayling, MI
- NPI 1427489509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1457381543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MEADOWS",
"address_2": "GRAYLING",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497387131",
"telephone_number": "989-745-6601",
"fax_number": "989-745-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MEADOWS DR",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497382014",
"telephone_number": "989-745-6601",
"fax_number": "989-745-6605"
}
],
"practiceLocations": [
{
"address_1": "1200 West North Down River Rd",
"address_2": "Grayling",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497387131",
"country_code": "US",
"telephone_number": "989-745-6601",
"fax_number": "989-745-6605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIAMI",
"first_name": "BASHAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301063746",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301063746",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4578241",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4174554",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nme@eclinicalworks.com",
"affiliation": "N",
"address_1": "201 Meadows Dr",
"city": "Grayling",
"state": "MI",
"country_code": "US",
"postal_code": "497382014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.