Active NPI
Gastrocare of Southwest Ohio, LLC
- Gastroenterology Physician
- Hamilton, OH
National Provider Identifier
1962044271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROCARE OF SOUTHWEST OHIO, LLC
- Practice address
- 520 Eaton Ave
Hamilton, OH 45013-2716 - Phone
- (573) 896-2200
- NPI assigned
- Oct 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dilip Bearelly, MD
- Title
- Owner
- Phone
- (513) 896-2200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
520 Eaton Ave
Hamilton, OH 45013-2716
Mailing address
520 Eaton Ave
Hamilton, OH 45013-2716
Phone (573) 896-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200404000358 | OH | Part B Supplier - Clinic/Group Practice | 8325477839 |
Receives reassigned benefits from 6 practitioners Practice locations: Hamilton, OH; Monroe, OH; Springfield, OH |
National Provider Directory
National Provider DirectoryLocations
913 Lebanon St
Ste B
Monroe, OH 45050
Phone (513) 896-2200
2355 Derr Rd
Ste B
Springfield, OH 45503
Phone (937) 629-3600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Richmond Heights, OH
- NPI 1780844423
Gastroenterology, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586304000000",
"number": "1962044271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132716",
"telephone_number": "573-896-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132716",
"telephone_number": "573-896-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROCARE OF SOUTHWEST OHIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-09",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "BEARELLY",
"authorized_official_first_name": "DILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-896-2200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, 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.