Deepchand Bajpai, MD – Radiation Oncology Physician

Key facts

NPI: 1366442568
Entity type: Individual (NPI type 1)
Primary specialty: Radiation Oncology Physician 2085R0001X
License: 01029271A (IN)
Practice address: 7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone: (260) 436-4116
Fax: (260) 436-1878
NPI assigned: Jul 28, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Lima Memorial Joint Operating Company General Acute Care Hospital · Lima, OH · NPI 1336144732

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
01029271A	IN	MD	Radiation Oncology Physician

Practice roles

Organization	Specialty	Status	New patients
Lima Memorial Joint Operating Company		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Radiation Oncology Physician	2085R0001X	01029271A	IN	Yes

Addresses

Primary practice location

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159

Mailing address

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone (260) 436-4116

Other identifiers

Identifier	Type	State	Issuer
0573526	Medicaid	OH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2008.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1366442568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-4116",
            "fax_number": "260-436-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-4116",
            "fax_number": "260-436-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJPAI",
        "first_name": "DEEPCHAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01029271A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Radiation Oncology Physician in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.