Individual provider Active NPI

Bashar Kiami, M.D.

  • Internal Medicine Physician
  • Grayling, MI
National Provider Identifier
1457381543
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063746 Issued in MI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4578241MedicaidMI
4174554MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301063746MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.