Individual provider Active NPI

Bashar N Jouma, MD

  • Anesthesiology Physician
  • Maumee, OH
National Provider Identifier
1518921980
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35078523J Issued in OH
Practice address
5901 Monclova Rd
Heart Center
Maumee, OH 43537-1841
Phone
(419) 893-5911
NPI assigned
Apr 13, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35078523J OH Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 35.078523 OH

Addresses

Primary practice location

5901 Monclova Rd
Heart Center
Maumee, OH 43537-1841

Mailing address

31014 Bel Aire Circle
Westlake, OH 44145
Phone (440) 263-8645

Other identifiers 1

IdentifierTypeStateIssuer
2324283MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, PA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050802000664 OH Practitioner - Anesthesiology 9537197389 Reassigns benefits to 3 organizations
I20150917001167 MI Practitioner - Anesthesiology 9537197389 Reassigns benefits to 2 organizations
I20170720000258 PA Practitioner - Anesthesiology 9537197389 Reassigns benefits to 1 organization
I20190808003056 FL Practitioner - Anesthesiology 9537197389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078523JOHMDAnesthesiology Physician
35.078523OHMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 1, 2018 Accepting new patients
Saginaw Anesthesia Services, PLLC Anesthesiology CurrentSince Aug 12, 2015 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Mar 15, 2014 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Resource Anesthesiology Associates of Mi PC Anesthesiology CurrentSince Apr 2, 2018 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jun 12, 2019 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Ohio Anesthesia Group, Inc Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2018 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Jun 12, 2019 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Apr 19, 2022 Accepting new patients
Amsol Physicians of Ohio, PC Anesthesiology Past Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anesthesia Associates of Northern Ohio, Inc. Anesthesiology PastSince Jan 1, 1996 Accepting new patients
Premier Anesthesia of Florida LLC Anesthesiology PastSince Jan 19, 2020 Accepting new patients

Locations

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

155 E State St
Albion, PA 16401
Phone (814) 756-4917

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1518921980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31014 BEL AIRE CIRCLE",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-263-8645",
            "fax_number": "440-760-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MONCLOVA RD",
            "address_2": "HEART CENTER",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371841",
            "telephone_number": "419-893-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUMA",
        "first_name": "BASHAR",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35078523J",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OH",
            "license": "35.078523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.