Individual provider Active NPI

Basil Michael Kahwash, M.D.

  • Allergy & Immunology Physician
  • Westerville, OH
National Provider Identifier
1568843191
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35.137143 Issued in OH
Practice address
477 Cooper Rd Ste 480
Westerville, OH 43081-8095
Phone
(614) 823-7135
Fax
(614) 823-7137
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 60751 TN
Internal Medicine Physician 207R00000X 60751 TN
Allergy & Immunology Physician 207K00000X 35.137143 OH Primary

Addresses

Primary practice location

477 Cooper Rd Ste 480
Westerville, OH 43081-8095

Mailing address

1810 Mackenzie Dr
Columbus, OH 43220-2967
Phone (614) 273-2250

Other identifiers 1

IdentifierTypeStateIssuer
0290544MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cooperallergy@1047.direct.myezaccess.com
Direct Messaging Address eastallergy@1047.direct.myezyaccess.com
Direct Messaging Address bethelallergy@1047.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201020002541 TN Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1951612498
I20240611003766 OH Practitioner - Allergy/Immunology 1951612498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngologists IncGroup PAC ID 7719881960, 59 clinicians

Practice addresses (Care Compare)

974 Bethel Rd
Suite a
Columbus, OH 43214-2467
Phone (614) 538-2424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60751TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngologists Inc Allergy & Immunology CurrentSince Jul 15, 2024 Accepting new patients
Vanderbilt University Internal Medicine PastSince Sep 1, 2020 Accepting new patients

Locations

1810 Mackenzie Dr
Columbus, OH 43220
Phone (614) 273-2234

974 Bethel Rd
Ste A
Columbus, OH 43214
Phone (614) 538-2422

6573 E Broad St
Ste A
Columbus, OH 43213
Phone (614) 755-5151

1810 Mackenzie Dr
Fl 2
Columbus, OH 43220
Phone (614) 273-2250

801 Ohio Health Blvd
Ste 220
Delaware, OH 43015
Phone (740) 368-5588

6670 Perimeter Dr
Ste 270
Dublin, OH 43016
Phone (614) 766-4903

5610 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 476-1112

2526 London Groveport Rd
Grove City, OH 43123
Phone (614) 273-2230

477 Cooper Rd
Ste 480
Westerville, OH 43081
Phone (614) 293-4238

Interoperability endpoints

  • Direct secure messaging: basil.kahwash.1@19222.direct.athenahealth.com

Organizations & group practices 2

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1568843191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MACKENZIE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202967",
            "telephone_number": "614-273-2250",
            "fax_number": "614-273-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 480",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818095",
            "telephone_number": "614-823-7135",
            "fax_number": "614-823-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHWASH",
        "first_name": "BASIL",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "60751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "60751",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35.137143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290544",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cooperallergy@1047.direct.myezaccess.com",
            "affiliation": "N",
            "address_1": "477 Cooper Rd Ste 480",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eastallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "6573 E Broad St Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432131509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethelallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "974 Bethel Rd Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.