Individual provider Active NPI

Siddharth Bhargava, MD

  • Ophthalmology Physician
  • Upland, CA
National Provider Identifier
1043849078
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A202244 Issued in CA
Practice address
555 N 13TH Ave
Upland, CA 91786-4904
Phone
(800) 345-8979
Fax
(909) 949-3967
NPI assigned
Apr 2, 2020
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A202244 CA Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 2024011050 MO

Addresses

Primary practice location

555 N 13TH Ave
Upland, CA 91786-4904

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-3937

Other practice location 1

4901 Forest Park Ave
Dept Ophthalmology, 6th Fl
Saint Louis, MO 63108-1495
Phone (314) 362-3937

Other identifiers 1

IdentifierTypeStateIssuer
200145040MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240715000068 MO Practitioner - Ophthalmology 3870916869 Reassigns benefits to 1 organization
I20250610003943 CA Practitioner - Ophthalmology 3870916869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A202244CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2024 Accepting new patients
Pacific Eye Institute a Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
Washington University CurrentSince Jul 1, 2024 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Ophthalmology PastSince Apr 1, 2020 Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

660 S Euclid Ave
Saint Louis, MO 63110

Networks

  • IA HMO C-SNP
  • IA HMO
  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sbhargava@pacificeyelaser.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1043849078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864904",
            "telephone_number": "800-345-8979",
            "fax_number": "909-949-3967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Forest Park Ave",
            "address_2": "Dept Ophthalmology, 6th Fl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081495",
            "country_code": "US",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARGAVA",
        "first_name": "SIDDHARTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A202244",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MO",
            "license": "2024011050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200145040",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4901 Forest Park Ave",
            "address_2": "Dept Ophthalmology, 6th Fl",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631081495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.