NPIMap

Individual provider Active NPI

James T Bowlus

  • Family Medicine Physician
  • Elida, OH
National Provider Identifier
1841263589
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35036062 Issued in OH
Practice address
610 E Kiracofe Ave
Elida, OH 45807-1034
Phone
(419) 331-0443
Fax
(419) 331-3137
NPI assigned
Feb 13, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35036062 OH Primary

Addresses

Primary practice location

610 E Kiracofe Ave
Elida, OH 45807-1034

Mailing address

PO Box 3097
Elida, OH 45807-0097
Phone (419) 331-0443

Other identifiers 4

IdentifierTypeStateIssuer
341435892-00OtherOHWORKER'S COMPENSATION
012675073OtherOHRAILROAD MEDICARE
000000355251OtherOHANTHEM BC BS
0305146MedicaidOH

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
I20100903000076 OH Practitioner - Family Practice 4486778065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

610 E Kiracofe Ave
Elida, OH 45807-1034
Phone (419) 331-0443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35036062OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James T Bowlus MD Inc Family Medicine CurrentSince Sep 30, 1981 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jul 24, 2023 Accepting new patients
Lima Memorial Professional Corporation Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Champaign Residential Services, Inc. Past Accepting new patients

Locations

L3982
Columbus, OH 43260

610 E Kiracofe Ave
Elida, OH 45807
Phone (419) 331-0443

610 E Kiracofe Ave
#45804
Elida, OH 45807

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: james.bowlus@lmpc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1841263589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3097",
            "city": "ELIDA",
            "state": "OH",
            "postal_code": "458070097",
            "telephone_number": "419-331-0443",
            "fax_number": "419-331-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E KIRACOFE AVE",
            "city": "ELIDA",
            "state": "OH",
            "postal_code": "458071034",
            "telephone_number": "419-331-0443",
            "fax_number": "419-331-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLUS",
        "first_name": "JAMES",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35036062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "341435892-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "012675073",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000355251",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elida, OH

Sources for this page

Verify at the official NPI Registry.