Madhuri Petkar, M. D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A53923 Issued in CA

Practice address

6501 Garfield Ave
Bell Gardens, CA 90201-1805

Phone

(562) 739-5875

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: madhuri.petkar.p1@direct.fhccgla.nextgenshare.com

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.

• Pioneer Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • Bellflower, CA
  • NPI 1548303589
  Medicare reassignment NPD
• CHHP Holdings II, LLC

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  NPD (past)
• Eyecare Medical Corporation

  • Ophthalmology Physician
  • Buena Park, CA
  • NPI 1427016120
  NPD (past)
• Eyecare Medical Corporation

  • Ophthalmology Physician
  • Artesia, CA
  • NPI 1932580198
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456531200000",
    "number": "1962428144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-739-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011805",
            "telephone_number": "562-739-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKAR",
        "first_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A539230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yogendra Patel, PHARMACIST
• Nikki Lynn Pedersen, LMFT
• Monica Martinez Peralta
• Socorro Perez Garcia
• Judith Perez Sanchez
• Derick Pham
• Phillip Z Kaw Dental Corporation
• Noemi Plascencia
• Arcelia Ponce, LCSW
• Enrique Prieto, DC

• General Practice Physician in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.