Individual provider Active NPI

Shiv Bhanu, MD

  • Diagnostic Radiology Physician
  • Riverside, CA
National Provider Identifier
1215208673
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A133806 Issued in CA
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

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427000937 CA Practitioner - Diagnostic Radiology 8729232095 Reassigns benefits to 2 organizations

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
Riverside Radiology Medical Group IncGroup PAC ID 2365412327, 27 clinicians

Practice addresses (Care Compare)

Riverside, CA 92501
Phone (951) 788-3400

Hospital & facility affiliations

  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Kaiser Foundation Hospital Fontana/Ontario Hospital, Fontana, CA, CCN 050140

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as group
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

LicenseStateTypeSpecialty
A133806CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Feb 20, 2018 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.