Anish Jayantilal Badodariya, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT186610 Issued in PA

Practice address

5801 Bremo Rd
Richmond, VA 23226-1907

Phone

(804) 285-0620

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lalitkumar Jayantilal Badodariya Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ab Optimal Medicalcare LLC

  • Internal Medicine Physician
  • Glen Allen, VA
  • NPI 1902617442
  NPD Authorized official
• Inpatient Medical Services, P.a.

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1104868975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1629235619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMELOT CT",
            "address_2": "APT. 401",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202551",
            "telephone_number": "412-207-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-285-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADODARIYA",
        "first_name": "ANISH",
        "middle_name": "JAYANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT186610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629235619",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LALITKUMAR",
            "last_name": "BADODARIYA",
            "middle_name": "JAYANTILAL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Back in Action Chiropractic Center PC
• Back in Action Chiropractic Center, P.C.
• Back to Motion Physical Therapy, PLLC
• Marlon Jermaine Bacote, RPRS, CSAC-S, QMHP-A
• Pearl J Bader, M.D.
• Narotham N Badrish, MD
• Ebone Charmaine Evans Bady, MD
• Rebecca Bae, PA-C
• Mary Anne Baechle
• Matthew Stephen Baer, MD

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.