Individual provider Active NPI

Vishnu V Bezwada, MBBS

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1730178922
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219720 Issued in MA
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

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2065240MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020001344 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678546710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
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

LicenseStateTypeSpecialty
219720MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Community Hospital CurrentSince Aug 28, 2015 Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat CurrentSince Mar 18, 2015 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.