NPIMap

Individual provider Active NPI

Surmeet Bedi

  • Nephrology Physician
  • Wilmington, OH
National Provider Identifier
1710911334
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
91836 Issued in OH
Practice address
630 W Main St
Suite 209
Wilmington, OH 45177-2170
Phone
(937) 383-2700
NPI assigned
Jul 10, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 1851 WI
Nephrology Physician 207RN0300X 91836 OH Primary

Addresses

Primary practice location

630 W Main St
Suite 209
Wilmington, OH 45177-2170

Mailing address

# L3439
Columbus, OH 43260-0001
Phone (937) 383-2700

Other identifiers 1

IdentifierTypeStateIssuer
2939815MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000344 OH Practitioner - NephrologyPractitioner - Internal Medicine 8628095122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surmeet Bedi MD LLCGroup PAC ID 3072767334, 2 clinicians

Practice addresses (Care Compare)

630 W Main St
Suite 209
Wilmington, OH 45177-2181
Phone (937) 383-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.86

Merit-based Incentive Payment System (MIPS)

Final score
52.56 of 100Reported as individual
Quality
43.23
Promoting interoperability
0
Improvement activities
40
Cost
74.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91836OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: subedi@yourcarecommunity.org

Organizations & group practices 3

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 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1710911334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L3439",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "937-383-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 209",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "937-383-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDI",
        "first_name": "SURMEET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1851",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "91836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939815",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.