Organization Active NPI

Bariatric and Minimally Invasive Surgical Institute

  • Surgery Physician
  • Roswell, GA
National Provider Identifier
1497364749
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC AND MINIMALLY INVASIVE SURGICAL INSTITUTE
Doing business as
BMI Surgical Institute
Bariatric and minimally invasive surgical institute
Practice address
1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912
Phone
(678) 626-0909
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Amir H Aryaie, MDNPI 1780984658
Title
Ceo
Phone
(678) 626-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X

Addresses

Primary practice location

1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912

Mailing address

1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912
Phone (404) 512-6648

Other practice location 1

7985 Roberts Dr
Sandy Springs, GA 30350-4128
Phone (404) 512-6648

Other identifiers 1

IdentifierTypeStateIssuer
1780984658MedicaidGA

Other names 2

  • BMI Surgical Institute Doing business as
  • Bariatric and minimally invasive surgical institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210106002121 GA Part B Supplier - Clinic/Group Practice 6103239454 Receives reassigned benefits from 2 practitioners
Practice locations: Roswell, GA; Snellville, GA; Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2303 Cumberland Pkwy SE
Ste 2
Atlanta, GA 30339
Phone (678) 626-0909

1105 Upper Hembree Rd
Ste A
Roswell, GA 30076
Phone (678) 626-0909

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1497364749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 UPPER HEMBREE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760912",
            "telephone_number": "404-512-6648",
            "fax_number": "844-989-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 UPPER HEMBREE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760912",
            "telephone_number": "678-626-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7985 Roberts Dr",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303504128",
            "country_code": "US",
            "telephone_number": "404-512-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARIATRIC AND MINIMALLY INVASIVE SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ARYAIE",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-626-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780984658",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMI Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bariatric and minimally invasive surgical institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.