Active NPI
Vishnu V Bezwada, MBBS
- Internal Medicine Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 219720
- Practice address
- 2045 S 14TH Ave Unit 11
Yuma, AZ 85364-6285 - Phone
- (617) 272-5589
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 219720 | MA | Primary |
Addresses
Primary practice location
2045 S 14TH Ave Unit 11
Yuma, AZ 85364-6285
Mailing address
2045 S 14TH Ave Unit 11
Yuma, AZ 85364-6285
Phone (617) 272-5589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2065240 | Medicaid | MA |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219720 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanford Community Hospital | Current | Accepting new patients | |
| Central Valley Critical Care Medicine - a Professional Corporat | Current | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients | |
| Nashoba Valley Healthcare Group Inc | Internal Medicine | Past | Accepting new patients |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860
Interoperability endpoints
- https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Hanford, CA
- NPI 1366829640
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- Family Medicine Physician
- Ayer, MA
- NPI 1174513071
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
dba Sierra View Medical Center
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1730178922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 S 14TH AVE UNIT 11",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646285",
"telephone_number": "617-272-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 S 14TH AVE UNIT 11",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646285",
"telephone_number": "617-272-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZWADA",
"first_name": "VISHNU",
"middle_name": "V",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "219720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2065240",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.