Active NPI
Anil M Bahadursingh, MD
- Colon & Rectal Surgery Physician
- Anaheim, CA
National Provider Identifier
1750485363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- C52471
- Practice address
- 411 N Lakeview Ave
Anaheim, CA 92807-3028 - Phone
- (714) 279-5431
- NPI assigned
- Sep 12, 2006
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 2002011238 | MO | |
| Colon & Rectal Surgery Physician | 208C00000X | C52471 | CA | Primary |
Addresses
Primary practice location
411 N Lakeview Ave
Anaheim, CA 92807-3028
Mailing address
1079 S Windy Ridge CT
Anaheim, CA 92808-2121
Phone (314) 378-2370
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7193400 | Other | AETNA | |
| 20053023 | Other | MO | RAILROAD MEDICARE |
| 157994 | Other | BLUE CROSS BLUE SHIELD | |
| 205855901 | Medicaid | MO | |
| 77535 | Other | HEALTH ALLIANCE | |
| 482649 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Louis University | Past | Accepting new patients | |
| Saint Louis University | Past | Accepting new patients | |
| Saint Louis University | Past | Accepting new patients | |
| Saint Louis University | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Slucare
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
- NPI 1467671057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750485363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 S WINDY RIDGE CT",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928082121",
"telephone_number": "314-378-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N LAKEVIEW AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073028",
"telephone_number": "714-279-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHADURSINGH",
"first_name": "ANIL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MO",
"license": "2002011238",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "C52471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7193400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "20053023",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "157994",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205855901",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "77535",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "482649",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.