Individual provider Active NPI

Ahmed Bayomi, MD

  • Family Medicine Physician
  • Mason, OH
National Provider Identifier
1508071366
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.09572 Issued in OH
Practice address
6394 Thornberry CT
Suite 820
Mason, OH 45040-7810
Phone
(513) 492-8541
Fax
(513) 492-8542
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.09572 OH Primary

Addresses

Primary practice location

6394 Thornberry CT
Suite 820
Mason, OH 45040-7810

Mailing address

6394 Thornberry CT
Suite 820
Mason, OH 45040-7810
Phone (513) 492-8541

Other identifiers 1

IdentifierTypeStateIssuer
2881314MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000089 OH Practitioner - Family Practice 4183788045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6394 Thornberry CT
Suite 820
Mason, OH 45040-7810
Phone (513) 492-8541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35.09572OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1508071366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT",
            "address_2": "SUITE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-492-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT",
            "address_2": "SUITE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-492-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYOMI",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.09572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2881314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.