Active NPI
Anil K.V. Bhogaraju, MD
- Hematology & Oncology Physician
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- L6294
- Practice address
- 2790 Lake Vista Dr
Lewisville, TX 75067-3884 - Phone
- (972) 459-1300
- Fax
- (972) 459-1382
- NPI assigned
- Jun 17, 2006
- Last updated
- Aug 25, 2011
- 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 | L6294 | TX | Primary |
| Medical Oncology Physician | 207RX0202X | L6294 | TX |
Addresses
Primary practice location
2790 Lake Vista Dr
Lewisville, TX 75067-3884
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158565501 | Medicaid | TX | |
| 158565502 | Medicaid | TX | |
| 8R1396 | Other | TX | BLUE CROSS OF TEXAS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4370 Medical Arts Dr
Suite 100
Flower Mound, TX 75028-1713
Phone (972) 537-4100
Hospital & facility affiliations
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
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 |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
4370 Medical Arts Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 537-4100
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2790 Lake Vista Dr
Lewisville, TX 75067
Phone (972) 221-0147
Interoperability endpoints
- anil.bhogaraju@txo.ikm.direct-ci.com
- dmcabhoga@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Lewisville
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
dba Texas Health Presbyterian Hospital Flower Mound
- General Acute Care Hospital
- Flower Mound, TX
- NPI 1902047376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1578508222",
"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": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 LAKE VISTA DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673884",
"telephone_number": "972-459-1300",
"fax_number": "972-459-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHOGARAJU",
"first_name": "ANIL",
"middle_name": "K.V.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "L6294",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "L6294",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158565501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158565502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1396",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.