NPIMap

Individual provider Active NPI

Bhoodev Tiwari, MD

  • Cardiovascular Disease Physician
  • Sun City, CA
National Provider Identifier
1326047309
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A49209 Issued in CA
Practice address
27830 Bradley Rd
Sun City, CA 92586-2201
Phone
(951) 672-3888
Fax
(951) 672-3758
NPI assigned
Jul 20, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A49209 CA Primary

Addresses

Primary practice location

27830 Bradley Rd
Sun City, CA 92586-2201

Mailing address

27830 Bradley Rd
Sun City, CA 92586-2201
Phone (951) 672-3888

Other identifiers 3

IdentifierTypeStateIssuer
00A492090MedicaidCA
1326047309OtherCANPI
A49209OtherCALICENSE

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
I20031216000881 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal Medicine 3678479375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Cardiology Medical Center IncGroup PAC ID 9133025836, 3 clinicians

Practice addresses (Care Compare)

27830 Bradley Rd
Sun City, CA 92586-2201
Phone (951) 672-3888

28078 Baxter Rd
Suite 428
Murrieta, CA 92563-1404
Phone (951) 246-8881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as group
Quality
83.14
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Cardiology Medical Center, Inc. Cardiovascular Disease CurrentSince Mar 1, 2003 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients

Locations

28078 Baxter Rd
Ste 428
Murrieta, CA 92563
Phone (951) 246-8881

27830 Bradley Rd
Sun City, CA 92586
Phone (951) 672-3888

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Interoperability endpoints

  • Direct secure messaging: btiwari53517@direct.llu.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Valley Healthcare CenterHemet, CA, CCN 555623 Skilled nursing facility Corporate Officer
Corporate Director		 Oct 13, 2010
Sep 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1326047309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27830 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862201",
            "telephone_number": "951-672-3888",
            "fax_number": "951-672-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27830 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862201",
            "telephone_number": "951-672-3888",
            "fax_number": "951-672-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "BHOODEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-01-21",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A49209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A492090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326047309",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A49209",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.