Active NPI
Shiv Bhanu, MD
- Diagnostic Radiology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A133806
- Practice address
- 6733 Canyon Hill Dr
Riverside, CA 92506-5672 - Phone
- (951) 780-1506
- NPI assigned
- Jan 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | A133806 | CA | Primary |
Addresses
Primary practice location
6733 Canyon Hill Dr
Riverside, CA 92506-5672
Mailing address
6733 Canyon Hill Dr
Riverside, CA 92506-5672
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
- Diagnostic Radiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Riverside, CA 92501
Phone (951) 788-3400
Hospital & facility affiliations
- Riverside Community Hospital
- St Bernardine Medical Center
- Community Hospital of San Bernardino
- Providence St Mary Medical Center
- Kaiser Foundation Hospital Fontana/Ontario
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.22 of 100
- Quality
- 78.14
- Improvement activities
- 40
- Cost
- 80.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133806 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lambert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Riverside, CA
- NPI 1699776526
-
- Diagnostic Radiology Physician
- Whittier, CA
- NPI 1609826684
-
- Diagnostic Radiology Physician
- Riverside, CA
- NPI 1013092394
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1720023997
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Fontana, CA
- NPI 1356496772
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1710109186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1215208673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6733 CANYON HILL DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925065672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6733 CANYON HILL DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925065672",
"telephone_number": "951-780-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANU",
"first_name": "SHIV",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-17",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A133806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.