Individual provider Active NPI

Bhargava Gannavarapu, M.D.

  • Gastroenterology Physician
  • San Jose, CA
National Provider Identifier
1881821825
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036136569 Issued in IL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120718000596 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0345406401 Reassigns benefits to 1 organization
I20150521001818 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 0345406401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ACAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2015 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Internal Medicine CurrentSince Aug 16, 2016 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

  • Direct secure messaging: bgannavarapu125680@santaclaravalley.direct-ci.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.