Individual provider Active NPI

Bhavini Jashvant Jaiswal, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Newport Beach, CA
National Provider Identifier
1033426341
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A100525 Issued in CA
Practice address
1 Hoag Dr
Critical Care Department Box 6100
Newport Beach, CA 92663-4162
Phone
(480) 227-1318
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A100525 CA Primary
Pulmonary Disease Physician 207RP1001X A100525 CA

Addresses

Primary practice location

1 Hoag Dr
Critical Care Department Box 6100
Newport Beach, CA 92663-4162

Mailing address

One Hoag Drive
Critical Care Department Box 6100
Newport Beach, CA 92658-6100
Phone (480) 227-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101018001226 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729271135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Critical Care Physicians Medical Group IncGroup PAC ID 1052223682, 15 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100525CAMDDentist
A100525CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Critical Care Physicians Medical Group Inc Critical Care Medicine CurrentSince Aug 1, 2010 Accepting new patients
Magella Medical Group, Inc. Past Accepting new patients

Locations

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

1 Hoag Dr
Ofc
Newport Beach, CA 92663
Phone (949) 764-6875

1 Hoag Dr
#6100
Newport Beach, CA 92663
Phone (310) 480-1382

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1033426341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "address_2": "CRITICAL CARE DEPARTMENT BOX 6100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926586100",
            "telephone_number": "480-227-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "address_2": "CRITICAL CARE DEPARTMENT BOX 6100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "480-227-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "BHAVINI",
        "middle_name": "JASHVANT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A100525",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A100525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.