Active NPI
Bhargava Gannavarapu, M.D.
- Gastroenterology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036136569
- Practice address
- 200 Jose Figueres Ave Ste 170
San Jose, CA 95116-1586 - Phone
- (408) 471-2000
- NPI assigned
- Jun 17, 2009
- Last updated
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N/A | CA | |
| Gastroenterology Physician | 207RG0100X | 036136569 | IL | Primary |
Addresses
Primary practice location
200 Jose Figueres Ave Ste 170
San Jose, CA 95116-1586
Mailing address
200 Jose Figueres Ave Ste 170
San Jose, CA 95116-1586
Phone (972) 639-6400
Other practice location 1
675 N Saint Clair St
Galter 17-250
Chicago, IL 60611-5975
Phone (914) 456-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14901 National Ave
Suite 101
Los Gatos, CA 95032-2637
Phone (408) 345-5925
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 26 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Northwestern Memorial Hospital | Past | Accepting new patients | |
| Northwestern Memorial Hospital | Past | Accepting new patients |
Locations
1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700
14901 National Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 345-5925
2490 Hospital Dr
Ste 300
Mountain View, CA 94040
Phone (408) 471-2222
200 Jose Figueres Ave
Ste 170
San Jose, CA 95116
Phone (408) 258-5083
2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012
Dept 5777
Carol Stream, IL 60122
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
675 N Saint Clair St
Ste 17-250
Chicago, IL 60611
Phone (312) 695-2561
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
7732 Solutions Ctr
Chicago, IL 60677
840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bgannavarapu125680@santaclaravalley.direct-ci.net
- bgannavarapu47020@icare.elcaminohospital.org
Organizations & group practices 10
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.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba University of Illinois Medical Center at Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1578672895
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861609208
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1881821825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE STE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161586",
"telephone_number": "972-639-6400",
"fax_number": "408-471-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE STE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161586",
"telephone_number": "408-471-2000"
}
],
"practiceLocations": [
{
"address_1": "675 N Saint Clair St",
"address_2": "Galter 17-250",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115975",
"country_code": "US",
"telephone_number": "914-456-7016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANNAVARAPU",
"first_name": "BHARGAVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "N/A",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036136569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.