Individual provider Active NPI

Anjali Bhasin, MD

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1104895887
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME97718 Issued in FL
Practice address
8320 W Sunrise Blvd
Suite 105
Plantation, FL 33322-5435
Phone
(954) 452-4246
Fax
(954) 452-4252
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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 ME97718 FL Primary

Addresses

Primary practice location

8320 W Sunrise Blvd
Suite 105
Plantation, FL 33322-5435

Mailing address

8320 W Sunrise Blvd
Suite 105
Plantation, FL 33322-5435
Phone (954) 452-4246

Other identifiers 1

IdentifierTypeStateIssuer
02688948MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080717000303 FL Practitioner - Internal Medicine 7810921368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

3200 S University Dr
Daive, FL 33328-2018
Phone (954) 262-4343

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Internal Medicine CurrentSince May 19, 2014 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince May 19, 2014 Accepting new patients
Medicine Associates at Lich Internal Medicine Past Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine PastSince Aug 23, 2020 Accepting new patients
Nova Southeastern University, Inc Internal Medicine Past Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients

Locations

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3200 S University Dr
Fl 1
Davie, FL 33328

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1104895887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225435",
            "telephone_number": "954-452-4246",
            "fax_number": "954-452-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225435",
            "telephone_number": "954-452-4246",
            "fax_number": "954-452-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "ANJALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02688948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.