Individual provider Active NPI

Zarar Bajwa, M.D.

  • Pediatrics Physician
  • Pottsville, PA
National Provider Identifier
1194705715
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD064871L Issued in PA
Practice address
1851 West End Ave
Pottsville, PA 17901-2050
Phone
(570) 624-7337
Fax
(570) 624-1782
NPI assigned
Jan 19, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD064871L PA Primary

Addresses

Primary practice location

1851 West End Ave
Pottsville, PA 17901-2050

Mailing address

1851 West End Ave
Pottsville, PA 17901-2050
Phone (570) 624-7337

Other identifiers 1

IdentifierTypeStateIssuer
001701931MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050628000727 PA Practitioner - Pediatric Medicine 2769427954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

224 Claremont Ave
Tamaqua, PA 18252-4434
Phone (570) 386-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064871LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group P C Pediatrics CurrentSince Aug 1, 1998 Accepting new patients
Blue Mountain Home Health Care, Inc Current Accepting new patients
Integrated Medical Group, P.C. CurrentSince Aug 1, 1998 Accepting new patients

Locations

8 Oak Grove Rd
Ste 1
Pine Grove, PA 17963
Phone (570) 345-3321

100 Schuylkill Medical Plz
Ste 105
Pottsville, PA 17901
Phone (570) 622-4840

1851 W End Ave
Pottsville, PA 17901
Phone (570) 622-9101

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

224 Claremont Ave
Tamaqua, PA 18252
Phone (570) 628-2229

Interoperability endpoints

  • Direct secure messaging: zbajwa@imgpc.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1194705715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 WEST END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-624-7337",
            "fax_number": "570-624-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WEST END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-624-7337",
            "fax_number": "570-624-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "ZARAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD064871L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001701931",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.