ADARSHA BAJRACHARYA MD
NPI 1689855561
Internal Medicine in Anaheim, CA

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3033 W ORANGE AVE, ANAHEIM, CA 92804(714) 229-5645 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2024, Nov 9, 2020, Sep 12, 2019 and 3 more (6 updates tracked since 2017).

About Adarsha Bajracharya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADARSHA BAJRACHARYA MD (NPI 1689855561) is an individual internal medicine provider in Anaheim, California, licensed in California (C186903) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1689855561
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADARSHA BAJRACHARYACredential: MD
Location Address3033 W ORANGE AVEAnaheim, CA 92804-3156
Mailing Address9032 Kalani StCypress, CA 90630-2674 · (617) 901-6322
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 19, 2007
Last NPPES UpdateApril 30, 20256 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1689855561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C186903✔ Licensed in MA · 243293
Definition
A 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.
Also ListedPreventive Medicine · Clinical InformaticsTaxonomy 2083C0008X · License 243293 (MA)
3033 W ORANGE AVE, Anaheim, CA 92804

Secondary Practice Locations 4

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515 · Fax (508) 334-6490
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-8515 · Fax (508) 334-6490
Location 3555 E Hardy StInglewood, CA 90301-4011 · Phone (310) 419-8617
Location 4103 Garland St, CHA - Whidden CampusEverett, MA 02149-5066 · Phone (617) 381-5061

Other Identifiers 1

Medicaid110086337AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adarsha Bajracharya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971795956
PECOS Enrollment IDI20230710001727
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Adarsha Bajracharya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
555 E HARDY ST
Inglewood, CA 90301
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
Critical Care Medicine
4940 VAN NUYS BLVD, STE 200
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
340 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
173 services168 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
130 services127 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
62 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.34

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$10.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$53.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
3033 W ORANGE AVE
ANAHEIM, CA 92804
General Acute Care Hospital
3033 W ORANGE AVE
ANAHEIM, CA 92804
Emergency Medicine
3033 W ORANGE AVE
ANAHEIM, CA 92804
Radiology (Diagnostic Radiology)
3033 W ORANGE AVE
ANAHEIM, CA 92804
Student in an Organized Health Care Education/Training Program
3033 W ORANGE AVE
ANAHEIM, CA 92804
Hospitalist
3033 W ORANGE AVE
ANAHEIM, CA 92804
General Acute Care Hospital
3033 W ORANGE AVE
ANAHEIM, CA 92804
Family Medicine
3033 W ORANGE AVE
ANAHEIM, CA 92804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adarsha Bajracharya's NPI number?

The NPI number for Adarsha Bajracharya is 1689855561. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Adarsha Bajracharya located?

Adarsha Bajracharya practices at 3033 W Orange Ave, Anaheim, CA 92804. The listed phone number is (714) 229-5645.

What is Adarsha Bajracharya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adarsha Bajracharya enrolled in Medicare?

Yes. Adarsha Bajracharya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adarsha Bajracharya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adarsha Bajracharya reassigns Medicare benefits to 3 organizations: Centinela Hospitalist Medical Group Inc (Inglewood, CA), Epic Medical Group,inc (Sherman Oaks, CA) and Cambridge Public Health Commission (Cambridge, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adarsha Bajracharya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adarsha Bajracharya was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.