Active NPI
Michael F Bhagat, M.D.
- Diagnostic Radiology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 40953
- Practice address
- 1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2644 - Phone
- (719) 542-2167
- Fax
- (719) 542-0320
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 40953 | CO | Primary |
Addresses
Primary practice location
1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2644
Mailing address
PO Box 11512
Pueblo, CO 81001-0512
Phone (719) 542-2167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04050274 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000137 | CO | Practitioner - Diagnostic Radiology | 2264513126 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Colorado Radiologists, P.C.Parkwest Imaging, L.L.C
Practice addresses (Care Compare)
1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2655
Phone (719) 542-2167
3676 Parker Blvd
Suite 165
Pueblo, CO 81008-2212
Phone (719) 595-7600
Hospital & facility affiliations
- Parkview Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40953 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Imaging, L.L.C | Diagnostic Radiology | Current | Accepting new patients |
| Southern Colorado Radiologists, P.C. | Current | Accepting new patients | |
| Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Pueblo Imaging Center, LLC | Past | Accepting new patients |
Locations
1619 N Greenwood St
Ste 100
Pueblo, CO 81003
Phone (719) 542-2167
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
404 W 12th St
Pueblo, CO 81003
Phone (719) 542-0172
3676 Parker Blvd
Ste 165
Pueblo, CO 81008
Phone (719) 253-7040
1619 N Greenwood St
Ste 103
Pueblo, CO 81003
Phone (719) 542-2167
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Pueblo, CO
- NPI 1790730810
CO, Diagnostic Radiology
-
- Specialist
- Pueblo, CO
- NPI 1497713960
Hospital & facility affiliations 7
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": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1497701296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11512",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810010512",
"telephone_number": "719-542-2167",
"fax_number": "719-542-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 N GREENWOOD ST",
"address_2": "SUITE 103",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032644",
"telephone_number": "719-542-2167",
"fax_number": "719-542-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGAT",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "40953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04050274",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.