Individual provider Active NPI

Akashni Bhasin, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1679621916
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1013 Issued in WI
Practice address
1 Childrens PL CB 8116
Saint Louis, MO 63110-1002
Phone
(314) 454-6051
Fax
(314) 454-6225
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1013 WI Primary
Pediatrics Physician 208000000X 2018026723 MO

Addresses

Primary practice location

1 Childrens PL CB 8116
Saint Louis, MO 63110-1002

Mailing address

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210121000945 WI Practitioner - Pediatric Medicine 3072606086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013WIMDMental Health Counselor
2018026723MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Dec 20, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Dec 20, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Our Lady of Bellefonte Hospital Inc Past Accepting new patients
Beloit Health System, Inc Past Accepting new patients

Locations

7395 Solutions Ctr
Chicago, IL 60677

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1679621916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114445",
            "telephone_number": "414-319-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL CB 8116",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6051",
            "fax_number": "314-454-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "AKASHNI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "1013",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2018026723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.