Organization Active NPI

Surmeet Bedi MD LLC

  • Nephrology Physician
  • Wilmington, OH
National Provider Identifier
1881929677
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SURMEET BEDI MD LLC
Practice address
630 W Main St
Suite 209
Wilmington, OH 45177-2170
Phone
(937) 383-2700
Fax
(937) 383-2722
NPI assigned
Oct 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. Surmeet Bedi, M.D.NPI 1710911334
Title
President
Phone
(937) 383-2700

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

630 W Main St
Suite 209
Wilmington, OH 45177-2170

Mailing address

# L3439
Columbus, OH 43260-0001
Phone (937) 383-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130214000198 OH Part B Supplier - Clinic/Group Practice 3072767334 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, OH

National Provider Directory

National Provider Directory

Locations

L3439
Columbus, OH 43260

630 W Main St
Ste 209
Wilmington, OH 45177
Phone (937) 382-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1881929677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L3439",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "937-383-2700",
            "fax_number": "937-383-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 209",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "937-383-2700",
            "fax_number": "937-383-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURMEET BEDI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "SURMEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-383-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.