Individual provider Active NPI

Chowdry M Bashir, MD

  • Internal Medicine Physician
  • Miamisburg, OH
National Provider Identifier
1881685840
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35066877 Issued in OH
Practice address
2115 Leiter Rd
Miamisburg, OH 45342-3600
Phone
(937) 384-6800
Fax
(937) 866-0551
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 35066877 OH Primary

Addresses

Primary practice location

2115 Leiter Rd
Miamisburg, OH 45342-3600

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

311 Straight St
Cincinnati, OH 45219-1018
Phone (513) 557-2236

Other identifiers 1

IdentifierTypeStateIssuer
2474559MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cbashir162307@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040506000096 OH Practitioner - Internal Medicine 8426046442 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066877OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince Sep 30, 2017 Accepting new patients
Alliance Physicians Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Alliance Physicians Inc CurrentSince Sep 1, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince May 31, 2021 Accepting new patients
Deaconess Healthcare Services Co Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920

2115 Leiter Rd
Ste 300
Miamisburg, OH 45342

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1881685840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423600",
            "telephone_number": "937-384-6800",
            "fax_number": "937-866-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Straight St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452191018",
            "country_code": "US",
            "telephone_number": "513-557-2236",
            "fax_number": "513-475-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "CHOWDRY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35066877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2474559",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbashir162307@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.