Individual provider Active NPI

Sameer Bajaj, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1497842397
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A135341 Issued in CA
Practice address
2753 Waverly Dr Apt 907
Los Angeles, CA 90039-2788
Phone
(646) 796-8194
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-087620 OH
Internal Medicine Physician 207R00000X A135341 CA
Pulmonary Disease Physician 207RP1001X A135341 CA
Hospitalist Physician 208M00000X A135341 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A135341 CA Primary

Addresses

Primary practice location

2753 Waverly Dr Apt 907
Los Angeles, CA 90039-2788

Mailing address

2753 Waverly Dr Apt 907
Los Angeles, CA 90039-2788
Phone (646) 796-8194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150813012586 CA Practitioner - Critical Care (Intensivists)Practitioner - HospitalistPractitioner - Internal Medicine 1254338437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Hospitalist, Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Brook Critical Care Medical Group IncGroup PAC ID 3476975319, 16 clinicians

Practice addresses (Care Compare)

1420 S Central Ave
Glendale, CA 91204-2508
Phone (877) 828-0736

Hospital & facility affiliations

  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-087620OHMDEmergency Medicine Physician
A135341CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Brook Critical Care Medical Group, Inc Hospitalist CurrentSince Mar 1, 2020 Accepting new patients
Bel Air Critical Care Medical Group, Inc. Critical Care Medicine CurrentSince Sep 1, 2017 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Internal Medicine Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

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 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1497842397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 WAVERLY DR APT 907",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392788",
            "telephone_number": "646-796-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 WAVERLY DR APT 907",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392788",
            "telephone_number": "646-796-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "SAMEER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-087620",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135341",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A135341",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A135341",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A135341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.