Manjit Bhamrah, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Glendale, AZ
NPI 1699706341 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1699706341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 21668 (AZ)
- Practice address
- 13606 N 59TH Ave
Suite 1
Glendale, AZ 85304-1270 - Phone
- (602) 978-6100
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Paseo Medical Specialists LLC
Practice addresses (Care Compare)
13606 N 59TH Ave
Glendale, AZ 85304-1271
Phone (602) 978-6100
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Banner Thunderbird Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.87 of 100
- Quality
- 95.68
- Improvement activities
- 40
- Cost
- 74.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080806000049 | AZ | Practitioner - Pulmonary Disease |
8527011667 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21668 | AZ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paseo Medical Specialists LLC | Internal Medicine | Current |
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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 21668 | AZ | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21668 | Other | AZ | AZ LICENSE |
| 154948 | Medicaid | AZ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | manjit.bhamrah.p1@direct.appss.nextgenshare.com | Health Information Exchange (HIE) |
Other providers in Glendale, AZ
- Pinakin G Bhakta
- Saavan Bhakta
- Simran Bhakta
- Hailey Bhambri
- Malti Bhamrah
- Paul Singh Bhamrah
- Rumbha Virasoontara Bhandhusavee
- Inderjeet Singh Bharaj
- Karan Bhasin
- BHSM Rehabilitation, LLC
All providers in Glendale, AZ · Pulmonary Disease Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.