Individual provider Active NPI

Rupa Bhasin, M.D.

  • Diagnostic Radiology Physician
  • Columbia, SC
National Provider Identifier
1669631677
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD40104 Issued in SC
Practice address
100 Gills Crossing Rd
Columbia, SC 29223-3295
Phone
(888) 886-5238
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD40104 SC Primary
Diagnostic Radiology Physician 2085R0202X DR.0057848 CO
Diagnostic Radiology Physician 2085R0202X C1-0011915 DE
Diagnostic Radiology Physician 2085R0202X ME131297 FL
Diagnostic Radiology Physician 2085R0202X 01074690A IN

Addresses

Primary practice location

100 Gills Crossing Rd
Columbia, SC 29223-3295

Mailing address

6245 North Federal Hwy
Suite 500
Fort Lauderdale, FL 33308-1905
Phone (888) 886-5238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211019001955 DE Practitioner - Diagnostic Radiology 8820486152
I20221101003474 NJ Practitioner - Diagnostic Radiology 8820486152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0057848COMDDiagnostic Radiology Physician
C1-0011915DEMDDiagnostic Radiology Physician
ME131297FLMDDiagnostic Radiology Physician
01074690AINMDDiagnostic Radiology Physician
25MA11181800NJMDDiagnostic Radiology Physician
MD40104SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Saint Barnabas Outpatient Centers CurrentSince Oct 9, 2025 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 1, 2023 Accepting new patients

Locations

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

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 3

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1669631677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 NORTH FEDERAL HWY",
            "address_2": "SUITE 500",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081905",
            "telephone_number": "888-886-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GILLS CROSSING RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233295",
            "telephone_number": "888-886-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "RUPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD40104",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0057848",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0011915",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME131297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01074690A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.