Individual provider Active NPI

Bhavesh Patel, M.D.

  • Gastroenterology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1952543514
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A117569 Issued in CA
Practice address
9481 Pittsburgh Ave Ste 200
Rancho Cucamonga, CA 91730
Phone
(909) 655-0300
Fax
(909) 655-1161
NPI assigned
Mar 29, 2009
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A117569 CA Primary

Addresses

Primary practice location

9481 Pittsburgh Ave Ste 200
Rancho Cucamonga, CA 91730

Mailing address

9481 Pittsburgh Ave Ste 200
Rancho Cucamonga, CA 91730-9021
Phone (909) 655-0300

Other practice location 1

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone (909) 655-0300

Other names 1

  • Bhavesh Patel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL p4300.cphy_pr.cernerasp.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190706000080 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5193035343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Digestive HealthGroup PAC ID 9931434495, 8 clinicians

Practice addresses (Care Compare)

9481 Pittsburgh Ave
Suite 200
Rancho Cucamonga, CA 91730-9021
Phone (909) 655-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy285
Upper gastrointestinal (GI) endoscopy for acid reflux350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Digestive Health Gastroenterology CurrentSince Feb 13, 2019 Accepting new patients

Locations

250 W Bonita Ave
Ste 250
Pomona, CA 91767
Phone (909) 593-2031

9481 Pittsburgh Ave
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 303-2260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1952543514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 PITTSBURGH AVE STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309021",
            "telephone_number": "909-655-0300",
            "fax_number": "909-655-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 PITTSBURGH AVE STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-655-0300",
            "fax_number": "909-655-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W Bonita Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671864",
            "country_code": "US",
            "telephone_number": "909-655-0300",
            "fax_number": "909-655-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A117569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "p4300.cphy_pr.cernerasp.com",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9481 Pittsburgh Ave Ste 200",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BHAVESH",
            "last_name": "PATEL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.