Individual provider Active NPI

Reeshad Rusi Buhariwalla, M.D.

  • Family Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1982709531
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-06-8953 Issued in OH
Practice address
1037 Conneaut Ave Ste 206
Bowling Green, OH 43402-5300
Phone
(419) 353-6225
Fax
(419) 354-0922
NPI assigned
Sep 14, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-06-8953 OH Primary

Addresses

Primary practice location

1037 Conneaut Ave Ste 206
Bowling Green, OH 43402-5300

Mailing address

745 Haskins Rd Ste B
Bowling Green, OH 43402-1600
Phone (419) 373-7607

Other identifiers 5

IdentifierTypeStateIssuer
H562810OtherOHMEDICARE
080123688OtherOHRAILROAD MEDICARE
000000130577OtherOHANTHEM
08-01306OtherOHUNITED HEALTHCARE
0217269MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rashad.buhariwallamd.p1@direct.whc.nextgenshare.com

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
I20070315000168 OH Practitioner - General Practice 5799888558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

1037 Conneaut Ave
Bowling Green, OH 43402-5300

141 N Keyser Ave
Deshler, OH 43516-1111
Phone (419) 278-2065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Company LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1037 Conneaut Ave
Ste 206
Bowling Green, OH 43402
Phone (419) 353-6225

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rashad.buhariwallamd.p1@direct.whc.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1982709531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CONNEAUT AVE STE 206",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025300",
            "telephone_number": "419-353-6225",
            "fax_number": "419-354-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHARIWALLA",
        "first_name": "REESHAD",
        "middle_name": "RUSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-8953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H562810",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080123688",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130577",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "08-01306",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217269",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rashad.buhariwallamd.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1037 Conneaut Ave Ste 206",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434025300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.