DR. PUSHKAR RAJ PANDEY M.D. NPI 1477522480

Internal Medicine in Fairfield, CA

Individual Male Internal Medicine PECOS Enrolled Accepts Medicare Years Experience 32 Medicare Quality Reporting

About PUSHKAR PANDEY

Pushkar Pandey is a provider established in Fairfield, California and his medical specialization is internal medicine with more than 32 years of experience. The NPI number of Pushkar Pandey is 1477522480 and was assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number C51295 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago. Pushkar Pandey is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Northbay Medical Center.

NPI

1477522480

Provider NameDR. PUSHKAR RAJ PANDEY M.D.
Provider Location Address1200 B GALE WILSON BLVD FAIRFIELD, CA 94533
Provider Mailing Address1525 WEBSTER ST SUITE A FAIRFIELD, CA 94533
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1989
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-14-2006
Last Update Date11-13-2007

Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.C51295
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. PUSHKAR RAJ PANDEY M.D.
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 429-3600

Get Directions

Mailing Address

DR. PUSHKAR RAJ PANDEY M.D.
1525 WEBSTER ST
SUITE A
FAIRFIELD, CA
ZIP 94533
Phone: (707) 423-2510
Fax: (707) 425-4236

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5991778094
PECOS Enrollment IDI20040817000750
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2017. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Documentation of Current Medications in the Medical Record100%59

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
NORTHBAY MEDICAL CENTER050367

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00C512950MEDICAID (05)CA
00C512951MEDICARE PIN (08)
H62484MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003801556DR. JOSEPH J DOMINGUEZ M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1003809823DR. JEFFREY J SAADI M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1023045515 SETH ABRAHAM KAUFMAN M.D.
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7830
1164431615 SHIRLEY YI SHEN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7844
1215904198DR. GODFREY E WONG MD
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-0777
1326031030DR. ANNIE Y LAU M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1417915513 JAMIE MICHELLE WHEELAHAN NP
Individual
Nurse Practitioner (Acute Care)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 646-5300
1598868705 GARY L. HOLLINGER PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1609824556DR. JAMES B BRONK M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1639121924EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(858) 759-4765
1649263526DR. RONALD T STAFFORD M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1689692584 KATHRYN LEMLOW PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD NORTHBAY MEDICAL CENTER
FAIRFIELD, CA 94533
(707) 429-3600
1770539413DR. JAMES F MCMAHON M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1790760551DR. CAESAR REZA DJAVAHERIAN M.D.
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 646-7800
1790888758 DAVID A PARKHURST FNP
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1841283595DR. WAYNE THOMAS WALKER M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1861413551DR. NAIL AMRO M.D.
Individual
Internal Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1952344293SOLANO GATEWAY MEDICAL GROUP, INC.
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(925) 924-1600
1952348617DR. WILLIAM N GONSER M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 464-6510
1962495671DR. MARK HILBERMAN M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.