Individual provider Active NPI

Surendra K Bagaria, MD

  • Nuclear Cardiology Physician
  • Sewell, NJ
National Provider Identifier
1346232105
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
25MA04620600 Issued in NJ
Practice address
539 Egg Harbor Rd Ste 1
Lourdes Cardiology Services, P.C.
Sewell, NJ 08080-2371
Phone
(856) 589-0300
Fax
(856) 589-1753
NPI assigned
Aug 18, 2005
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA04620600 NJ
Nuclear Cardiology Physician 207UN0901X 25MA04620600 NJ Primary

Addresses

Primary practice location

539 Egg Harbor Rd Ste 1
Lourdes Cardiology Services, P.C.
Sewell, NJ 08080-2371

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sbagaria19707@directvirtua.org
Direct Messaging Address sbagaria19707@directvirtua.org
Direct Messaging Address sbagaria19707@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050308000666 NJ Practitioner - Cardiovascular Disease (Cardiology) 8022062587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Cherry Hill, NJ 08034-2600

181 W White Horse Pike
Suite 201
Berlin, NJ 08009-2032
Phone (856) 768-6600

2 Sindoni LN
Hammonton, NJ 08037-1884

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

539 Egg Harbor Rd
Sewell, NJ 08080-2371
Phone (856) 589-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04620600NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Cardiac Interpretation Services, LLC Cardiovascular Disease Past Accepting new patients
South Jersey Radiology Associates P a Past Accepting new patients

Locations

181 W White Horse Pike
Ste 201
Berlin, NJ 08009
Phone (856) 768-6600

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

239 Hurffville Crosskeys Rd
Ste 210
Sewell, NJ 08080
Phone (856) 582-2000

539 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-0300

539 Egg Harbor Rd
Ste 1
Sewell, NJ 08080
Phone (856) 589-0300

539 Egg Harbor Rd
Ste 1A
Sewell, NJ 08080
Phone (856) 589-0300

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340

Interoperability endpoints

  • Direct secure messaging: sbagaria19707@directvirtua.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1346232105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD STE 1",
            "address_2": "LOURDES CARDIOLOGY SERVICES, P.C.",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGARIA",
        "first_name": "SURENDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04620600",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA04620600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbagaria19707@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 210",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbagaria19707@directvirtua.org",
            "affiliation": "N",
            "address_1": "181 W White Horse Pike Ste 201",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080092032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbagaria19707@directvirtua.org",
            "affiliation": "N",
            "address_1": "539 Egg Harbor Rd Ste 1A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.