NPIMap

Individual provider Active NPI

Niraj Siddharthbhai Doctor, M.D

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1285925883
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A123667 Issued in CA
Practice address
2901 Sillect Ave Ste 100
Bakersfield, CA 93308-6372
Phone
(661) 323-8384
Fax
(661) 438-1746
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 XXXXX CA
Cardiovascular Disease Physician 207RC0000X A123667 CA Primary

Addresses

Primary practice location

2901 Sillect Ave Ste 100
Bakersfield, CA 93308-6372

Mailing address

PO Box 1139
Bakersfield, CA 93302-1139
Phone (661) 371-2796

Other practice location 1

8403 Blackburn Ave Apt 204
los angeles
Los Angeles, CA 90048-4157
Phone (818) 508-8083

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
I20130708000655 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244470631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Suite 100
Bakersfield, CA 93308-6372
Phone (661) 323-8384

Hospital & facility affiliations

  • Pro Nursing Home Care, Inc Home health agency, Bakersfield, CA, CCN 559062
  • Professional Nursing Inc Home health agency, Valley Village, CA, CCN 059161
  • Reliable Healthcare LLC Home health agency, Bakersfield, CA, CCN 757275
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
XXXXXCAMDFamily Nurse Practitioner

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Centric Health Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Centric Health CurrentSince Jun 1, 2017 Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients

Locations

100 Old River Rd
Ste 120
Bakersfield, CA 93311

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: niraj.doctor.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 5

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 9

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086372",
            "telephone_number": "661-323-8384",
            "fax_number": "661-438-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8403 Blackburn Ave Apt 204",
            "address_2": "los angeles",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484157",
            "country_code": "US",
            "telephone_number": "818-508-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "NIRAJ",
        "middle_name": "SIDDHARTHBHAI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "XXXXX",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A123667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.