Active NPI
Sanjeev Bagga, M.D.
- Diagnostic Radiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD065337L
- Practice address
- Central Arkansas Veterans Health Care System
4300 West 7TH Street
Little Rock, AR 72205-1000 - Phone
- (501) 257-1000
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | MD065337L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD065337L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | C53626 | CA |
Addresses
Primary practice location
Central Arkansas Veterans Health Care System
4300 West 7TH Street
Little Rock, AR 72205-1000
Mailing address
Central Arkansas Veterans Health Care System
4300 West 7TH St
Little Rock, AR 72205-1000
Phone (501) 257-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023711630002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-3407
Phone (631) 638-2121
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5400
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53626 | CA | MD | Diagnostic Radiology Physician |
| MD065337L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Current | Accepting new patients | |
| Doctors Imaging Group LLC | Nuclear Radiology | Current | Accepting new patients |
| Stony Brook Radiology, University Faculty Practice Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Nuclear Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc | Diagnostic Radiology | Past | Accepting new patients |
| FRG Acmh PC | Diagnostic Radiology | Past | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Nuclear Radiology | Past | Accepting new patients |
| Tolland Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
6716 NW 11th Pl
Gainesville, FL 32605
Phone (352) 331-9829
6716 NW 11th Pl
Ste 200
Gainesville, FL 32605
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1366497448
-
- Diagnostic Radiology Physician
- Gainesville, FL
- NPI 1134179989
Nuclear Radiology
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Nuclear Radiology
-
dba AdventHealth Medical Group Radiology
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
dba AdventHealth Imaging
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Kittanning, PA
- NPI 1366692469
-
dba Moffitt Medical Group
- Hematology & Oncology Physician
- Tampa, FL
- NPI 1306833595
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1124111398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL ARKANSAS VETERANS HEALTH CARE SYSTEM",
"address_2": "4300 WEST 7TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051000",
"telephone_number": "501-257-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL ARKANSAS VETERANS HEALTH CARE SYSTEM",
"address_2": "4300 WEST 7TH STREET",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051000",
"telephone_number": "501-257-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGA",
"first_name": "SANJEEV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD065337L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD065337L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C53626",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023711630002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.