Individual provider Active NPI

Harshad Bhagwanjee Wadhar, MD

  • Family Medicine Physician
  • Hayward, CA
National Provider Identifier
1124197660
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD055857L Issued in PA
Practice address
226 Benmore Dr
Hayward, CA 94542
Phone
(412) 779-6048
NPI assigned
Nov 7, 2006
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD055857L PA Primary

Addresses

Primary practice location

226 Benmore Dr
Hayward, CA 94542

Mailing address

226 Benmore Dr
Hayward, CA 94542
Phone (412) 373-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20110517000306 PA Practitioner - Emergency MedicinePractitioner - Family Practice 8729264353 Reassigns benefits to 1 organization
I20190715000415 CA Practitioner - Emergency Medicine 8729264353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vallejo Emergency Physicians Medical Group IncGroup PAC ID 2961683693, 11 clinicians

Practice addresses (Care Compare)

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-5210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
87.42
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vallejo Emergency Physicians Medical Group Inc. CurrentSince Jun 1, 2019 Accepting new patients
Ahn Emergency Group of Indiana County, LTD CurrentSince Jul 15, 2016 Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Past Accepting new patients
Emergency Medicine Physicians of Mercer County, LTD. Past Accepting new patients
Emergency Medicine Physicians of Lawrence County LTD Past Accepting new patients

Locations

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

Interoperability endpoints

  • Direct secure messaging: hwadhar453560@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1124197660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BENMORE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94542",
            "telephone_number": "412-373-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BENMORE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94542",
            "telephone_number": "412-779-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHAR",
        "first_name": "HARSHAD",
        "middle_name": "BHAGWANJEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD055857L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.