Individual provider Active NPI

Beena Ijaz, MD

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1649453820
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.092956 Issued in OH
Practice address
6905 Hospital Dr Ste 200
Dublin, OH 43016-9601
Phone
(614) 544-8150
Fax
(614) 544-8151
NPI assigned
Dec 11, 2007
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 M8050 TX
Internal Medicine Physician 207R00000X 35.092956 OH Primary

Addresses

Primary practice location

6905 Hospital Dr Ste 200
Dublin, OH 43016-9601

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 2

IdentifierTypeStateIssuer
E0154445OtherTXDPS
M8050OtherTXTMB

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bijaz384031@direct.ohiohealth.com Westland Family Care LLC
Direct Messaging Address bijaz33222@lickingmemorial.medicity.net Licking Memorial Professional Corporation
Direct Messaging Address bijaz384031@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20130212000281 OH Practitioner - Internal Medicine 6406931922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

6870 Perimeter Dr
Suite B
Dublin, OH 43016-8047
Phone (614) 788-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092956OHMDInternal Medicine Physician
M8050TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC Internal Medicine CurrentSince Nov 11, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2023 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Incare Health Solutions, LLC CurrentSince Nov 11, 2012 Accepting new patients
Westland Family Care LLC PastSince Nov 13, 2022 Accepting new patients

Locations

1480 Grandview Ave
Columbus, OH 43212
Phone (614) 486-9461

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6870 Perimeter Dr
#B
Dublin, OH 43016
Phone (614) 777-9804

6905 Hospital Dr
Ste 200
Dublin, OH 43016
Phone (614) 544-8150

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Interoperability endpoints

  • Direct secure messaging: beena.ijaz.1@31184.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1649453820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169601",
            "telephone_number": "614-544-8150",
            "fax_number": "614-544-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "BEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.092956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "E0154445",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "M8050",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bijaz384031@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Westland Family Care LLC",
            "address_1": "100 N Murray Hill Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432281590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bijaz33222@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Professional Corporation",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bijaz384031@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "6870 Perimeter Dr Ste B",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430168047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.