Active NPI
Mukul Bhargava, MD
- Anesthesiology Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME58399
- Practice address
- 4485 N State Road 7
Lauderdale Lakes, FL 33319-5876 - Phone
- (954) 720-3188
- Fax
- (954) 586-2589
- NPI assigned
- Apr 5, 2006
- Last updated
- Jan 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME58399 | FL | Primary |
Addresses
Primary practice location
4485 N State Road 7
Lauderdale Lakes, FL 33319-5876
Mailing address
7154 N University Dr # 316
Tamarac, FL 33321-2916
Phone (954) 720-3188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256929900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Phone (888) 851-4642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58399 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants of the Palm Beaches PA | Anesthesiology | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Aventura, FL
- NPI 1821475179
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
dba Interventional Spine Specialists of FL
- Interventional Pain Medicine Physician
- Tamarac, FL
- NPI 1487690780
-
- Anesthesiology Physician
- Wellington, FL
- NPI 1720013287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1265494058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7154 N UNIVERSITY DR # 316",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212916",
"telephone_number": "954-720-3188",
"fax_number": "954-586-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195876",
"telephone_number": "954-720-3188",
"fax_number": "954-586-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARGAVA",
"first_name": "MUKUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME58399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256929900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.