NPIMap

Individual provider Active NPI

Shyam Bhaskar, MD

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1194788158
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74116 Issued in CA
Practice address
231 W Noble Ave
Visalia, CA 93277-2631
Phone
(559) 635-7100
Fax
(559) 634-7104
NPI assigned
Apr 10, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74116 CA Primary
Pediatrics Physician 208000000X A74116 CA
Hospitalist Physician 208M00000X A74116 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A74116 CA

Addresses

Primary practice location

231 W Noble Ave
Visalia, CA 93277-2631

Mailing address

231 W Noble Ave
Visalia, CA 93277-2631
Phone (559) 635-7100

Other identifiers 1

IdentifierTypeStateIssuer
A74116OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216001117 CA Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Pediatric Medicine 3971498320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist, Pediatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Shyam Bhaskar MD IncGroup PAC ID 8022196690, 4 clinicians
County of TulareGroup PAC ID 1456264555, 32 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 537-0550

231 W Noble Ave
Visalia, CA 93277-2631
Phone (559) 635-7100

2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 733-6342

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74116CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Mar 1, 2014 Accepting new patients
Adventist Health Delano CurrentSince Mar 1, 2014 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Shyam Bhaskar, M.D. Inc Hospice and Palliative Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2015 Accepting new patients
County of Tulare Current Accepting new patients
Adventist Health Delano Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
County of Tulare CurrentSince Feb 12, 2011 Accepting new patients
Shyam Bhaskar, M.D. Inc Internal Medicine Past Accepting new patients
Adventist Health Delano Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Shyam Bhaskar, MD Inc Internal Medicine Past Accepting new patients
Adventist Health Tulare Past Accepting new patients

Locations

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

1425 Main St
Delano, CA 93215
Phone (661) 725-3772

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

231 W Noble Ave
Visalia, CA 93277
Phone (559) 635-7100

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICHABA/Endpoint/ICHABA
  • Direct secure messaging: shyam.bhaskar.p1@direct.altura.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shyam Bhaskar MDDelano, CA, CCN 058982 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Nov 1, 2013
Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Shyam Bhaskar, M.D. Inc
    • Primary Care Clinic/Center
    • Delano, CA
    • NPI 1154679447

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1194788158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772631",
            "telephone_number": "559-635-7100",
            "fax_number": "559-635-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772631",
            "telephone_number": "559-635-7100",
            "fax_number": "559-634-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74116",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74116",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A74116",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A74116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A74116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.