Active NPI
Nikhil Bhardwaj MD PA
- Pulmonary Disease Physician
- Aventura, FL
National Provider Identifier
1427279488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME79930
- Legal business name
- NIKHIL BHARDWAJ MD PA
- Practice address
- 21355 E Dixie Hwy
Suite 102
Aventura, FL 33180-1238 - Phone
- (305) 932-2552
- Fax
- (305) 932-2503
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikhil Bhardwaj, MD, PA
- Title
- Owner
- Phone
- (305) 932-2552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME79930 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME79930 | FL | Primary |
Addresses
Primary practice location
21355 E Dixie Hwy
Suite 102
Aventura, FL 33180-1238
Mailing address
21355 E Dixie Hwy
Suite 102
Aventura, FL 33180-1238
Phone (305) 932-2552
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35714 | Other | FL | BC, BS PROVIDER NUMBER |
| N191965 | Other | FL | STAYWELL PROVIDER NUMBER |
| 1031917 | Other | FL | CARE PLUS PROVIDER NUMBER |
| 39509 | Other | FL | NEIGHBORHOOD PROVIDER NUM |
| 48-00593 | Other | FL | UNITED PROVIDER NUMBER |
| 7469122 | Other | FL | AETNA PROVIDER NUMBER |
| 222594 | Other | FL | AMERIGROUP PROVIDER NUMBE |
| H12007 | Other | FL | VISTA PROVIDER NUMBER |
| 261864800 | Medicaid | FL | |
| 273491 | Other | FL | AV MED PROVIDER NUMBER |
| N191965 | Other | FL | WELLCARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Aventura, FL
- NPI 1699859496
-
- Acute Care Nurse Practitioner
- Aventura, FL
- NPI 1598135634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1427279488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21355 E DIXIE HWY",
"address_2": "SUITE 102",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801238",
"telephone_number": "305-932-2552",
"fax_number": "305-932-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21355 E DIXIE HWY",
"address_2": "SUITE 102",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801238",
"telephone_number": "305-932-2552",
"fax_number": "305-932-2503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKHIL BHARDWAJ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "BHARDWAJ",
"authorized_official_first_name": "NIKHIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-932-2552",
"authorized_official_credential": "MD, PA"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME79930",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME79930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC, BS PROVIDER NUMBER",
"identifier": "35714",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL PROVIDER NUMBER",
"identifier": "N191965",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS PROVIDER NUMBER",
"identifier": "1031917",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD PROVIDER NUM",
"identifier": "39509",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED PROVIDER NUMBER",
"identifier": "48-00593",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7469122",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER NUMBE",
"identifier": "222594",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA PROVIDER NUMBER",
"identifier": "H12007",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261864800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED PROVIDER NUMBER",
"identifier": "273491",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER NUMBER",
"identifier": "N191965",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.