Individual provider Active NPI

Michael F Bhagat, M.D.

  • Diagnostic Radiology Physician
  • Pueblo, CO
National Provider Identifier
1497701296
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40953 Issued in CO
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

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04050274MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 7517959794, 11 clinicians
Parkwest Imaging, L.L.CGroup PAC ID 3173415247, 11 clinicians

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 Hospital, Pueblo, CO, CCN 060020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40953COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Imaging, L.L.C Diagnostic Radiology CurrentSince Oct 1, 2002 Accepting new patients
Southern Colorado Radiologists, P.C. CurrentSince Oct 28, 2002 Accepting new patients
Radiology Associates Diagnostic Radiology PastSince Oct 28, 2002 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.

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

Verify at the official NPI Registry.