Organization Active NPI

Raghubinder Bajwa MD PC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
National Provider Identifier
1306039813
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RAGHUBINDER BAJWA MD PC
Practice address
80 Congress St
Suite 103
Springfield, MA 01104-3427
Phone
(413) 732-4002
Fax
(413) 732-4504
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Raghubinder Bajwa, M.D.NPI 1508817107
Title
Owner
Phone
(413) 732-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

80 Congress St
Suite 103
Springfield, MA 01104-3427

Mailing address

80 Congress St
Suite 103
Springfield, MA 01104-3427
Phone (413) 732-4002

Other identifiers 1

IdentifierTypeStateIssuer
M19293OtherMABCBS

National Provider Directory

National Provider Directory

Locations

80 Congress St
Ste 103
Springfield, MA 01104
Phone (413) 732-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1306039813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-4002",
            "fax_number": "413-732-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-4002",
            "fax_number": "413-732-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHUBINDER BAJWA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "RAGHUBINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-732-4002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M19293",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.