NPIMap

Individual provider Active NPI

Anup S Bains, M.D.

  • Nephrology Physician
  • Youngstown, OH
National Provider Identifier
1780655589
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35070679B Issued in OH
Practice address
1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125
Phone
(330) 746-1488
Fax
(330) 746-0384
NPI assigned
Jan 30, 2006
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35070679B OH Primary
Nephrology Physician 207RN0300X MD060830L PA

Addresses

Primary practice location

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125

Mailing address

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125
Phone (330) 746-1488

Other identifiers 2

IdentifierTypeStateIssuer
0460120MedicaidOH
1633045MedicaidPA

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
I20040609000916 OH Practitioner - Nephrology 6305829508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney Group IncGroup PAC ID 0941291231, 21 clinicians

Practice addresses (Care Compare)

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070679BOHMDNephrology Physician
MD060830LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Access Center, LLC CurrentSince Oct 1, 1996 Accepting new patients
The Kidney Group, Inc Nephrology CurrentSince Oct 1, 1996 Accepting new patients
Associates in Nephrology, LTD Nephrology Past Accepting new patients
Center for Vascular Access LLC Nephrology PastSince Aug 1, 2007 Accepting new patients

Locations

2020 E State St
Ste J
Salem, OH 44460
Phone (330) 337-4935

1700 E Market St
Ste 118
Warren, OH 44483
Phone (330) 259-0440

311 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 393-3376

1340 Belmont Ave
Ste 2300
Youngstown, OH 44504

2151 Shenango Valley Fwy
Ste B
Hermitage, PA 16148
Phone (724) 308-7742

2151 Shenango Valley Fwy
Ste B1
Hermitage, PA 16148

101 Nesbitt Rd
Ste 102
New Castle, PA 16105
Phone (724) 657-5452

Interoperability endpoints

  • Direct secure messaging: abains31292@direct.acumenmd.com
  • Direct secure messaging: abains34949@direct.bsmhealth.org

Organizations & group practices 4

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 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1780655589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "ANUP",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35070679B",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD060830L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460120",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1633045",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.