Individual provider Active NPI

Bashir Awl

  • Exclusive Provider Organization
  • Columbus, OH
National Provider Identifier
1902346463
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
201703403310 Issued in OH
Practice address
4130 Adalric Dr
Columbus, OH 43219-6199
Phone
(614) 749-9782
NPI assigned
Mar 3, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 201703403310 OH Primary

Addresses

Primary practice location

4130 Adalric Dr
Columbus, OH 43219-6199

Mailing address

4130 Adalric Dr
Columbus, OH 43219-6199
Phone (614) 749-9782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201703403310OHMDExclusive Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1902346463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 ADALRIC DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196199",
            "telephone_number": "614-749-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 ADALRIC DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196199",
            "telephone_number": "614-749-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWL",
        "first_name": "BASHIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "201703403310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.