Individual provider Active NPI

Rajesh Bhandari, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1083692438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23159 Issued in OK
Practice address
5018 E 68TH St
Tulsa, OK 74136-3367
Phone
(918) 496-8052
Fax
(918) 496-2977
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23159 OK Primary

Addresses

Primary practice location

5018 E 68TH St
Tulsa, OK 74136-3367

Mailing address

5018 E 68TH St
Tulsa, OK 74136-3367
Phone (918) 496-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20141209002331 OK Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2365417292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23159OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Bhandari MD PC Internal Medicine PastSince Jan 23, 2006 Accepting new patients
Richard N Marple MD PLLC Internal Medicine Past Accepting new patients

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, 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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083692438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363367",
            "telephone_number": "918-496-8052",
            "fax_number": "918-496-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363367",
            "telephone_number": "918-496-8052",
            "fax_number": "918-496-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "RAJESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.