NPIMap

Individual provider Active NPI

Hemant Pande, M.D.

  • Gastroenterology Physician
  • Sherman Oaks, CA
National Provider Identifier
1548306483
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C54643 Issued in CA
Practice address
4955 Van Nuys Blvd
Suite #502
Sherman Oaks, CA 91403-1817
Phone
(818) 325-0200
Fax
(818) 325-0210
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14565R LA
Gastroenterology Physician 207RG0100X C54643 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd
Suite #502
Sherman Oaks, CA 91403-1817

Mailing address

4955 Van Nuys Blvd
Suite #502
Sherman Oaks, CA 91403-1817
Phone (818) 325-0200

Other identifiers 2

IdentifierTypeStateIssuer
1127647MedicaidLA
14565ROtherLASTATE LICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000328 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739181496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Gastro-Digestive Medical GroupGroup PAC ID 8325030406, 3 clinicians

Practice addresses (Care Compare)

11480 Brookshire Ave
Downey, CA 90241-5025
Phone (562) 862-3656

3621 Martin Luther King Jr Blvd
Suite 5
Lynwood, CA 90262-3512
Phone (310) 632-0906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.15 of 100Reported as group
Quality
78.12
Improvement activities
40
Cost
83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54643CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Louisiana Internal Medicine Specialist CurrentSince Feb 19, 2007 Accepting new patients
Gastro-Digestive Medical Group Gastroenterology CurrentSince May 1, 2012 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
CLHG-Leesville LLC Past Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

11480 Brookshire Ave
Ste 308
Downey, CA 90241
Phone (562) 862-3656

3621 Martin Luther King Jr Blvd
Ste 5
Lynwood, CA 90262
Phone (310) 632-0906

3621 Martin Luther King Jr Blvd
Ste 3
Lynwood, CA 90262
Phone (310) 631-2627

1015 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-2207

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEEBA

Organizations & group practices 8

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 5

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1548306483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE #502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031817",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE #502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031817",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "HEMANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "14565R",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C54643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127647",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "14565R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.