Organization Active NPI

Amit Bhargava, MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Owings Mills, MD
National Provider Identifier
1730211673
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AMIT BHARGAVA, MD, LLC
Practice address
9199 Reisterstown Rd
Ste 107B
Owings Mills, MD 21117-4520
Phone
(410) 581-2969
Fax
(410) 998-3995
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Amit Bhargava, MDNPI 1376580530
Title
Owner
Phone
(410) 581-2969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

9199 Reisterstown Rd
Ste 107B
Owings Mills, MD 21117-4520

Mailing address

9199 Reisterstown Rd
Ste 107B
Owings Mills, MD 21117-4520
Phone (410) 581-2969

Other identifiers 1

IdentifierTypeStateIssuer
1376580530OtherMDNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000441 MD Part B Supplier - Clinic/Group Practice 3577663525 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD; Westminster, MD; Randallstown, MD; Owings Mills, MD

National Provider Directory

National Provider Directory

Locations

827 Linden Ave
Ste C
Baltimore, MD 21201
Phone (410) 581-2969

20 Crossroads Dr
Ste 210
Owings Mills, MD 21117
Phone (410) 581-0808

9199 Reisterstown Rd
Ste 107B
Owings Mills, MD 21117
Phone (410) 998-3883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1730211673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "STE 107B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "410-581-2969",
            "fax_number": "410-998-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "STE 107B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174520",
            "telephone_number": "410-581-2969",
            "fax_number": "410-998-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT BHARGAVA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BHARGAVA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-581-2969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376580530",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.