Samir Bhasin

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H72041 Issued in MD

Practice address

331 Oak Manor Dr
Suite 203
Glen Burnie, MD 21061-5548

Phone

(410) 768-0700

Fax

(410) 768-1143

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Samir Bhasin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sbhasin20414@direct.umm.edu

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1689849895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "SUITE 203",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615548",
            "telephone_number": "410-768-0700",
            "fax_number": "410-768-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "SUITE 203",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615548",
            "telephone_number": "410-768-0700",
            "fax_number": "410-768-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "148994",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H72041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIR",
            "last_name": "BHASIN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bethel Health Agency
• Elizabeth Bevilacqua, AU.D.
• Monica Bhagat, MD
• Nisha Rani Bhardwaj, AGAC CRNP
• Bhasin Pediatrics, LLC
• Sushma Bhasin, M.D.
• Bhawna Bahethi, MD LLC
• Anne Bierey, LCSW-C
• Bioserenity DT, Inc.
• Jennifer Lyn Birchenough, OTR, PA-C

• Pediatrics Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.