Individual provider Active NPI

Suraj Bhardwaj

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1942741244
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110075 Issued in FL
Practice address
1599 NW 9TH Ave
Boca Raton, FL 33486-9000
Phone
(561) 338-8884
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9110075 FL Primary

Addresses

Primary practice location

1599 NW 9TH Ave
Boca Raton, FL 33486-9000

Mailing address

2161 SW 152 Ter
Miramar, FL 33027-9805
Phone (954) 682-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113000381 FL Practitioner - Physician Assistant 1153756523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Delray Beach, FL 33445-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110075FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Mar 2, 2020 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

8200 SW 117th Ave
Ste 110
Miami, FL 33183
Phone (305) 274-5500

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

8329 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 627-1617

Interoperability endpoints

  • Direct secure messaging: suraj.bhardwaj@gastrohealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1942741244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 SW 152 TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330279805",
            "telephone_number": "954-682-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334869000",
            "telephone_number": "561-338-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "SURAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.