Individual provider Active NPI

Jasmeet Singh Bhogal, MD

  • Family Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1295980969
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09414100 Issued in NJ
Practice address
401 Young Avenue
Suite 180
Moorestown, NJ 08057-2427
Phone
(856) 291-6818
Fax
(856) 291-6819
NPI assigned
Nov 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD440059 PA
Family Medicine Physician 207Q00000X 25MA09414100 NJ Primary

Addresses

Primary practice location

401 Young Avenue
Suite 180
Moorestown, NJ 08057-2427

Mailing address

7000 Atrium Way
Suite 6
Mount Laurel, NJ 08054
Phone (856) 291-6818

Other identifiers 1

IdentifierTypeStateIssuer
0399817MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180508001235 DC Practitioner - Family Practice 3678610029 Reassigns benefits to 2 organizations
I20191011000313 MD Practitioner - Family Practice 3678610029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 290-1499

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince May 25, 2018 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 25, 2018 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 20, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

228 7th St SE
Washington, DC 20003
Phone (202) 696-0795

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

5454 Wisconsin Ave
North Chevy Chase, MD 20815
Phone (301) 215-9440

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610 King St
#D
Alexandria, VA 22302
Phone (703) 845-2815

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1295980969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVENUE",
            "address_2": "SUITE 180",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572427",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOGAL",
        "first_name": "JASMEET",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-23",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440059",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09414100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.