Prithviraj Dharmaraja, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A43516 Issued in CA

Practice address

1331 W Avenue J Ste 202
Lancaster, CA 93534

Phone

(661) 529-7550

Fax

(661) 529-7560

NPI assigned

Aug 12, 2006

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastro Care InstituteGroup PAC ID 7214273481, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Gastro Care Institute

  • Gastroenterology Physician
  • Lancaster, CA
  • NPI 1326514746
  Medicare reassignment Care Compare group NPD
• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• First Choice Physician Partners

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1558797118

  Gastroenterology

  NPD
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  NPD (past)
• Nuehee Inc.

  • Clinical Informatics Physician
  • Lancaster, CA
  • NPI 1659199750
  NPD (past)
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Tim Corvino MD a Medical Corporation

  dba High Desert Gastroenterology

  • Gastroenterology Physician
  • Lancaster, CA
  • NPI 1265080170
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Care Compare affiliation
• Ridgecrest Regional Hospital

  • Land Ambulance
  • Ridgecrest, CA
  • NPI 1699398560

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1932111424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5688",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935395688",
            "telephone_number": "661-529-7550",
            "fax_number": "661-529-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-529-7550",
            "fax_number": "661-529-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753 W Avenue J",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342703",
            "country_code": "US",
            "telephone_number": "661-948-0803",
            "fax_number": "661-948-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARMARAJA",
        "first_name": "PRITHVIRAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A43516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas E Dewald, D.C.
• Mike Singh Dhaliwal, M.D.
• Sara Saroj Dhamija, M.D.
• Thana Dhanaphibul, PHARMD.
• Prathana Dhar, OD
• Daljit Nat Dhillon
• Manprit K Dhillon, MD
• Sukhvir Kaur Dhinsa, FNP-BC
• Diagnostic Solutions
• Michael J Diament, MD

• Gastroenterology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.

Verify at the official NPI Registry.