M S Bhagavan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-094099 Issued in IL

Practice address

645 S Central Ave
Chicago, IL 60644

Phone

(708) 275-7458

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Hospice & Palliative Care LLC Hospice, Oakbrook Terrace, IL, CCN 141661
• Loretto Hospital Hospital, Chicago, IL, CCN 140083
• Ahva Care of Stickney Nursing home, Stickney, IL, CCN 146078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mysore.bhagavan@loretto.medalliesdirect.net

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.

• Central Clinic & Research Sciences Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538656863

  IL, Internal Medicine

  Medicare reassignment NPD
• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284

  IL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahva Care of Stickney, LLC

  • Skilled Nursing Facility
  • Stickney, IL
  • NPI 1659967693

  Nursing home

  Care Compare affiliation
• Capital Hospice & Palliative Care LLC

  • Community Based Hospice Care Agency
  • Oak Brook, IL
  • NPI 1417392465

  Hospice

  Care Compare affiliation
• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1174512917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "708-275-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60644",
            "telephone_number": "708-275-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAVAN",
        "first_name": "M",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-094099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-094099-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Bhagat-Boyd, LPC
• Asif Irfan Bhagat, PHARM.D
• Hemali Bhagat, PHARMD
• Jahnavi Bhagat
• Jaimie Dinesh Bhagat, PHARMD
• Sheila Bhagavan, M.D.
• Neha Bhagi, M.D
• Chandan Bhagia
• Anya N Bhagwakar, DO
• Puja Bhagwakar, DDS

• All providers in Chicago, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.

Verify at the official NPI Registry.