Individual provider Active NPI

Bardia Asgari, MD

  • Internal Medicine Physician
  • Shelton, CT
National Provider Identifier
1811938533
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038488 Issued in CT
Practice address
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone
(203) 225-0506
Fax
(203) 225-0592
NPI assigned
Jun 10, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038488 CT Primary

Addresses

Primary practice location

555 Bridgeport Ave
Shelton, CT 06484-4749

Mailing address

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 225-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070329000470 CT Practitioner - Internal Medicine 2163526260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Primary Care of Shelton LLCGroup PAC ID 0840394292, 2 clinicians

Practice addresses (Care Compare)

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

555 Bridgeport Ave
Suite 2
Shelton, CT 06484-4892
Phone (203) 225-0506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038488CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Shelton LLC Internal Medicine CurrentSince Apr 1, 2007 Accepting new patients

Locations

555 Bridgeport Ave
Shelton, CT 06484
Phone (203) 550-2755

555 Bridgeport Ave
Ste 2
Shelton, CT 06484
Phone (203) 225-0504

Interoperability endpoints

  • Direct secure messaging: bardia.asgari.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17254/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 7

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1811938533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844749",
            "telephone_number": "203-225-0506",
            "fax_number": "203-225-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844749",
            "telephone_number": "203-225-0506",
            "fax_number": "203-225-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGARI",
        "first_name": "BARDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.