Active NPI
Niranjan Jeganathan, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A144063
- Practice address
- 11234 Anderson St RM 1516
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4000
- Fax
- (909) 558-0429
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A144063 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A144063 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A144063 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St RM 1516
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St RM 1516
Loma Linda, CA 92354-2804
Phone (909) 558-4000
Other practice location 1
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206147 | Other | IL | MEDICARE PTAN GROUP |
| F400306639 | Other | IL | MEDICARE PTAN INDIVIDUAL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144063 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Locations
11370 Anderson St
Ste 3300
Loma Linda, CA 92354
Phone (909) 478-6191
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Rm 1516
Loma Linda, CA 92350
11370 Anderson St
#3200
Loma Linda, CA 92354
Phone (909) 558-2395
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1003 E Brier Dr
San Bernardino, CA 92408
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- njeganathan138209@direct.llu.edu
- https://haiku.northshore.org/Interconnect-FHIR/api/FHIR/R4/
Organizations & group practices 9
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- Pediatric Urology Physician
- Loma Linda, CA
- NPI 1295900439
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935915
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Pharmacy
- Glenview, IL
- NPI 1053367375
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1346216470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1578724977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 1516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4000",
"fax_number": "909-558-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM 1516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4000",
"fax_number": "909-558-0429"
}
],
"practiceLocations": [
{
"address_1": "300 Randall Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344200",
"country_code": "US",
"telephone_number": "630-933-4700",
"fax_number": "630-933-4427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEGANATHAN",
"first_name": "NIRANJAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2022-07-21",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A144063",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A144063",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A144063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "206147",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL",
"identifier": "F400306639",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.