Individual provider Active NPI

Anita Bhardwaj, M.D.

  • Pediatrics Physician
  • Broadview HTS, OH
National Provider Identifier
1255346789
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-090767 Issued in OH
Practice address
500 E Royalton Rd Ste 100
Broadview HTS, OH 44147-2592
Phone
(440) 526-1487
Fax
(440) 526-1487
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-090767 OH Primary
Pediatrics Physician 208000000X 036-108185 IL

Addresses

Primary practice location

500 E Royalton Rd Ste 100
Broadview HTS, OH 44147-2592

Mailing address

PO Box 74610
Cleveland, OH 44194-0693
Phone (440) 526-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108185ILMDPediatrics Physician
35-090767OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients
Franklin Primary Health Center, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1926/brand/1/csg/981/fhir/r4
  • Direct secure messaging: abhardwaj38054@ehrdirect.uhhospitals.org

Organizations & group practices 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1255346789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74610",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940693",
            "telephone_number": "440-526-6630",
            "fax_number": "440-526-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROYALTON RD STE 100",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472592",
            "telephone_number": "440-526-1487",
            "fax_number": "440-526-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-090767",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-108185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.