Individual provider Active NPI

Manjit Bhamrah, M.D.

  • Pulmonary Disease Physician
  • Glendale, AZ
National Provider Identifier
1699706341
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21668 Issued in AZ
Practice address
13606 N 59TH Ave
Suite 1
Glendale, AZ 85304-1270
Phone
(602) 978-6100
NPI assigned
Jul 5, 2006
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 21668 AZ Primary

Addresses

Primary practice location

13606 N 59TH Ave
Suite 1
Glendale, AZ 85304-1270

Mailing address

13606 N 59TH Ave
Suite 1
Glendale, AZ 85304-1270
Phone (602) 978-6100

Other identifiers 2

IdentifierTypeStateIssuer
21668OtherAZAZ LICENSE
154948MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manjit.bhamrah.p1@direct.appss.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080806000049 AZ Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Internal Medicine 8527011667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paseo Medical Specialists LLCGroup PAC ID 7618956970, 3 clinicians

Practice addresses (Care Compare)

13606 N 59TH Ave
Glendale, AZ 85304-1271
Phone (602) 978-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.87 of 100Reported as group
Quality
95.68
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paseo Medical Specialists LLC Internal Medicine CurrentSince Apr 1, 2000 Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients

Locations

13606 N 59th Ave
Ste 1
Glendale, AZ 85304
Phone (602) 978-6100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: manjit.bhamrah.p1@direct.appss.nextgenshare.com

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1699706341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041270",
            "telephone_number": "602-978-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041270",
            "telephone_number": "602-978-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMRAH",
        "first_name": "MANJIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-09-26",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "21668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "21668",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154948",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manjit.bhamrah.p1@direct.appss.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13606 N 59th Ave",
            "address_2": "SUITE 1",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853041270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.