Organization Active NPI

Md360, LLC

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1861021016
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD360, LLC
Practice address
4605 E Galbraith Rd Ste 110
Cincinnati, OH 45236-2887
Phone
(513) 225-8137
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Amar Bhati, MDNPI 1326344490
Title
Sole Partner
Phone
(513) 225-8137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4605 E Galbraith Rd Ste 110
Cincinnati, OH 45236-2887

Mailing address

4605 E Galbraith Rd Ste 110
Cincinnati, OH 45236-2887
Phone (513) 225-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200602001778 OH Part B Supplier - Clinic/Group Practice 6204257140 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

4605 E Galbraith Rd
#110
Cincinnati, OH 45236
Phone (513) 891-0131

4605 E Galbraith Rd
Ste 110
Cincinnati, OH 45236
Phone (513) 225-8137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1861021016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 E GALBRAITH RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362887",
            "telephone_number": "513-225-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 E GALBRAITH RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362887",
            "telephone_number": "513-225-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "BHATI",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "SOLE PARTNER",
        "authorized_official_telephone_number": "513-225-8137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.