Active NPI
Chandar Bhimani, MD
- Hematology & Oncology Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 43875
- Practice address
- 1412 Milstead Ave NE Ste 300
Conyers, GA 30012-3877 - Phone
- (770) 918-2320
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 43875 | GA | |
| Internal Medicine Physician | 207R00000X | 43875 | GA | |
| Hematology & Oncology Physician | 207RH0003X | 43875 | GA | Primary |
| Internal Medicine Physician | 207R00000X | MD35540 | WA | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 3611 | WI |
Addresses
Primary practice location
1412 Milstead Ave NE Ste 300
Conyers, GA 30012-3877
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Other practice location 1
5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone (678) 843-6800
Other practice location 2
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114073 | Medicaid | WA | |
| 1871654509 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | cbhimani500785@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
100 Market Place Blvd
Suite 200
Cartersville, GA 30121-8716
Phone (770) 386-7253
110 Cherokee PL
Cartersville, GA 30121-2954
Phone (770) 386-6300
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912
5 Cloverleaf Dr
Cartersville, GA 30120-2177
Phone (770) 386-7253
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Piedmont Cartersville Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar North Fulton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3611 | WI | MD | Professional Counselor |
| 43875 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Olympic Physicians P.L.L.C. | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Westcare Clinic Inc PS | Past | Accepting new patients | |
| Emory Specialty Associates, LLC | Internal Medicine | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1020 J L White Dr
Ste 160
Jasper, GA 30143
Phone (706) 692-0603
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001
Interoperability endpoints
- cbhimani500785@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
-
- Primary Care Clinic/Center
- Shelton, WA
- NPI 1417156183
-
- General Practice Physician
- Renton, WA
- NPI 1881769552
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cartersville Medical Center
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1871654509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102321",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE STE 300",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-918-2320"
}
],
"practiceLocations": [
{
"address_1": "5665 Peachtree Dunwoody Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421764",
"country_code": "US",
"telephone_number": "678-843-6800",
"fax_number": "678-843-6849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Fish Hatchery Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151909",
"country_code": "US",
"telephone_number": "608-252-8000",
"fax_number": "608-410-2905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHIMANI",
"first_name": "CHANDAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "43875",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "43875",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "43875",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD35540",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "WI",
"license": "3611",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114073",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871654509",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1211 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151909",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbhimani500785@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cbhimani500785@direct-ehr-ssmhc.com",
"address_1": "1211 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.