Active NPI
Nephrology Associates of Southwestern Ohio, Inc.
- Nephrology Physician
- Fairfield, OH
National Provider Identifier
1992891014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC.
- Practice address
- 2960 Mack Rd
#203
Fairfield, OH 45014-5373 - Phone
- (513) 863-8212
- Fax
- (513) 863-8379
- NPI assigned
- Oct 5, 2006
- 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
- Dr. Bhupendra H Mahida, M.D.
- Title
- President
- Phone
- (513) 863-8212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
2960 Mack Rd
#203
Fairfield, OH 45014-5373
Mailing address
3090 McBride CT
Suite B
Hamilton, OH 45011-0811
Phone (513) 863-8212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2288215 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000524 | OH | Part B Supplier - Clinic/Group Practice | 1951298272 |
Receives reassigned benefits from 10 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Chester, OH; Oxford, OH; Hamilton, OH; Fairfield, OH; Cincinnati, OH |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Nephrology Physician
- Cincinnati, OH
- NPI 1144482043
O20040302000524
-
- Nephrology Physician
- Oxford, OH
- NPI 1508952672
O20040302000524
National Provider Directory
National Provider DirectoryLocations
2960 Mack Rd
Ste 203
Fairfield, OH 45014
Phone (513) 791-6099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1992891014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 MCBRIDE CT",
"address_2": "SUITE B",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450110811",
"telephone_number": "513-863-8212",
"fax_number": "513-863-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 MACK RD",
"address_2": "#203",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145373",
"telephone_number": "513-863-8212",
"fax_number": "513-863-8379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "MAHIDA",
"authorized_official_first_name": "BHUPENDRA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-863-8212",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2288215",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.