Active NPI
Pranay Bahuguna, M.D.
- Hospitalist Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C55727
- Practice address
- 3165 Cherry Valley Circle
Fairfield, CA 94534 - Phone
- (203) 583-2644
- NPI assigned
- Feb 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 044190 | CT | |
| Hospitalist Physician | 208M00000X | C55727 | CA | Primary |
Addresses
Primary practice location
3165 Cherry Valley Circle
Fairfield, CA 94534
Mailing address
3165 Cherry Valley Circle
Fairfield, CA 94534
Phone (203) 583-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001441906 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
726 4TH St
Marysville, CA 95901-5656
Phone (530) 749-4300
Hospital & facility affiliations
- Adventist Health and Rideout
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55727 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Alliance Medical Group of Greater Waterbury PC | Hospitalist | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Hospitalist
-
- Internal Medicine Physician
- Selma, CA
- NPI 1366700817
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Internal Medicine Physician
- Middlebury, CT
- NPI 1750306015
Hospitalist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1174598932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3165 CHERRY VALLEY CIRCLE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94534",
"telephone_number": "203-583-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 CHERRY VALLEY CIRCLE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94534",
"telephone_number": "203-583-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHUGUNA",
"first_name": "PRANAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "044190",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C55727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001441906",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.