Active NPI
Kelash Bajaj, MD
- Hematology & Oncology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- Q3212
- Practice address
- 500 W 3Rd St
Odessa, TX 79761 - Phone
- (432) 335-8275
- Fax
- (432) 334-0687
- NPI assigned
- Jun 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Q3212 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 0101123456 | VA |
Addresses
Primary practice location
500 W 3Rd St
Odessa, TX 79761
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other practice location 1
1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-0144
Other practice location 2
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other practice location 3
500 W 3rd St
Odessa, TX 79761
Phone (432) 335-8275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381708201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20180322000997 | TX | Practitioner - Hematology/Oncology | 8527215680 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dora Roberts Rehabilitation CenterTexas Oncology PA
Practice addresses (Care Compare)
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
500 W 3Rd St
Odessa, TX 79761-5010
Phone (432) 335-8275
Hospital & facility affiliations
- Medical Center Hospital
- Midland Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101123456 | VA | MD | Internal Medicine Physician |
| Q3212 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
Locations
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
500 W 3rd St
Odessa, TX 79761
Phone (432) 335-8275
501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926
Interoperability endpoints
- kelash.bajaj@txo.ikm.direct-ci.com
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Big Spring, TX
- NPI 1760486708
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1518220771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 3RD ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-335-8275",
"fax_number": "432-334-0687"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-0144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W 3rd St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "79761",
"country_code": "US",
"telephone_number": "432-335-8275",
"fax_number": "432-334-0687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAJAJ",
"first_name": "KELASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "Q3212",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101123456",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381708201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.