Active NPI
Reeshad Rusi Buhariwalla, M.D.
- Family Medicine Physician
- Bowling Green, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-06-8953
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H562810 | Other | OH | MEDICARE |
| 080123688 | Other | OH | RAILROAD MEDICARE |
| 000000130577 | Other | OH | ANTHEM |
| 08-01306 | Other | OH | UNITED HEALTHCARE |
| 0217269 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood Health Company LLC | Family Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Family Medicine Physician
- Bowling Green, OH
- NPI 1598776916
-
- Family Medicine Physician
- Saint Marys, OH
- NPI 1184652539
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
dba Wood County Hospital
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.