Individual provider Active NPI

Sachin S Bhardwaj, M.D.

  • MOHS-Micrographic Surgery Physician
  • Edina, MN
National Provider Identifier
1821038746
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
45931 Issued in MN
Practice address
3316 W 66TH St
Suite 200
Edina, MN 55435-2506
Phone
(952) 920-3808
Fax
(952) 920-8899
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 45931 MN Primary
Dermatology Physician 207N00000X A90894 CA
Dermatology Physician 207N00000X 45931 MN

Addresses

Primary practice location

3316 W 66TH St
Suite 200
Edina, MN 55435-2506

Mailing address

3316 W 66TH St
Suite 200
Edina, MN 55435-2506
Phone (952) 920-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20060905000424 MN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7214931278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Northeastern Ohio University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists, PAGroup PAC ID 1456248137, 18 clinicians

Practice addresses (Care Compare)

3316 W 66TH St
Edina, MN 55435-2544
Phone (952) 920-3808

Hospital & facility affiliations

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
58.09
Improvement activities
40
Cost
87.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of tissue1-10
Removal of skin lesions60
Removal of skin cancer721
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90894CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists, PA Dermatology CurrentSince Jul 17, 2006 Accepting new patients

Locations

3316 W 66th St
Edina, MN 55435
Phone (952) 920-3808

3316 W 66th St
Ste 200
Minneapolis, MN 55435
Phone (612) 920-3808

Interoperability endpoints

  • Direct secure messaging: sbhardwaj@directaddress.net

Organizations & group practices 1

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 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1821038746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 W 66TH ST",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352506",
            "telephone_number": "952-920-3808",
            "fax_number": "952-920-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 W 66TH ST",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352506",
            "telephone_number": "952-920-3808",
            "fax_number": "952-920-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "SACHIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "45931",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A90894",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "45931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.