Surendra K Bagaria, MD
Individual provider Active NPI Nuclear Cardiology Physician · Sewell, NJ
NPI 1346232105 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1346232105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nuclear Cardiology Physician 207UN0901X
- License
- 25MA04620600 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virtua Medical Group, PA
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
- Virtua Our Lady of Lourdes Hospital
- West Jersey Hospital
- Virtua Mount Holly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000666 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 8022062587 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04620600 | NJ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| South Jersey Radiology Associates P a | Past | Accepting new patients | |
| Cardiac Interpretation Services, LLC | Cardiovascular Disease | 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
539 Egg Harbor Rd
Ste 1A
Sewell, NJ 08080
Phone (856) 589-0300
539 Egg Harbor Rd
Ste 1
Sewell, NJ 08080
Phone (856) 589-0300
239 Hurffville Crosskeys Rd
Ste 210
Sewell, NJ 08080
Phone (856) 582-2000
539 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-0300
101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340
Interoperability endpoints
- sbagaria19707@directvirtua.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04620600 | NJ | |
| Nuclear Cardiology Physician | 207UN0901X | 25MA04620600 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0586901 | Medicaid | NJ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbagaria19707@directvirtua.org | ||
| Direct Messaging Address | sbagaria19707@directvirtua.org | ||
| Direct Messaging Address | sbagaria19707@directvirtua.org |
Other providers in Sewell, NJ
- Thomas Aucello
- Luke Stanford Austin
- Marc G Backal
- Joseph Nunzio Badolato
- Heather Marie Baer
- Stasia M. Bahring
- James William Bailey
- Jody Williams Baker
- Elizabeth Balis
- John Ballinger
All providers in Sewell, NJ · Nuclear Cardiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.