NPIMap

Individual provider Active NPI

Jayaram S. Bharadwaj, M.D.

  • Hematology & Oncology Physician
  • Anaheim, CA
National Provider Identifier
1083602155
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2002001982 Issued in MO
Practice address
1801 W Romneya Dr Ste 203
Anaheim, CA 92801-1824
Phone
(714) 999-1465
Fax
(714) 999-1701
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2002001982 MO Primary

Addresses

Primary practice location

1801 W Romneya Dr Ste 203
Anaheim, CA 92801-1824

Mailing address

1801 W Romneya Dr Ste 203
Anaheim, CA 92801-1824
Phone (714) 999-1465

Other identifiers 5

IdentifierTypeStateIssuer
715415OtherNDMEDICARE
10090MedicaidND
207308404MedicaidMO
P00730797OtherMORAILROAD MEDICARE
177919001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002895 CA Practitioner - Medical Oncology 1759346729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Angeles Hematology-Oncology Medical Group 51 clinicians

Practice addresses (Care Compare)

1801 W Romneya Dr
Suite 203
Anaheim, CA 92801-1824
Phone (714) 999-1465

Hospital & facility affiliations

  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001982MOMDClinical Social Worker
2002001982MOMDHematology & Oncology Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Pacific Cancer Medical Center Inc Hematology & Oncology CurrentSince Aug 1, 2015 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Jan 1, 2024 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Jan 1, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
St. Alexius Medical Center Past Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

300 S Harbor Blvd
Ste 600
Anaheim, CA 92805
Phone (714) 978-7488

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1083602155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011824",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011824",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARADWAJ",
        "first_name": "JAYARAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2002001982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "715415",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10090",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207308404",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00730797",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177919001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.