Jagadish R Bilgi, M D
Individual provider
Active NPI
Pediatrics Physician · Ankeny, IA
NPI 1891803102 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891803102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 20835 (IA)
- Practice address
- 2201 W 1St St
Ankeny, IA 50023-2484
- Phone
- (515) 964-7117
- Fax
- (515) 964-0660
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20151202001599 |
IA |
Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine |
8527368216 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|
| 20835 | IA | MD | Pharmacist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pediatrics Physician |
208000000X |
20835 |
IA |
Yes |
Addresses
Primary practice location
2201 W 1St St
Ankeny, IA 50023-2484
Mailing address
2201 W 1St St
Ankeny, IA 50023-2484
Phone (515) 964-7117
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 0145284 | Medicaid | IA | |