Individual provider Active NPI

Ravi Bhasker, MD

  • Family Medicine Physician
  • Socorro, NM
National Provider Identifier
1326146259
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
75111 Issued in NM
Practice address
200 Neel Ave
Socorro, NM 87801-4649
Phone
(575) 835-2940
Fax
(575) 835-2216
NPI assigned
Sep 21, 2006
Last updated
Aug 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 75111 NM Primary

Addresses

Primary practice location

200 Neel Ave
Socorro, NM 87801-4649

Mailing address

200 Neel Ave.
Socorro, NM 87801-4649
Phone (575) 835-2940

Other identifiers 1

IdentifierTypeStateIssuer
3236MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100830001102 NM Practitioner - General Practice 1355255373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Kansas Medical College, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Neel Ave
Socorro, NM 87801-4649
Phone (575) 835-2940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.85 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
75111NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhasker Medical Clinic PC Family Medicine CurrentSince Sep 12, 1988 Accepting new patients
New Mexico Heart Institute, LLC Past Accepting new patients

Locations

200 Neel Ave
Socorro, NM 87801
Phone (505) 835-2940

Organizations & group practices 2

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.

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1326146259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEEL AVE.",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-835-2940",
            "fax_number": "575-835-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEEL AVE",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-835-2940",
            "fax_number": "575-835-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKER",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "75111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

Verify at the official NPI Registry.