BHARADWAJ NIVARTHI MD
NPI 1902312358
Internal Medicine in Leonardtown, MD

Q: What is Bharadwaj Nivarthi's NPI number?

The NPI number for Bharadwaj Nivarthi is 1902312358. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Q: What is Bharadwaj Nivarthi's specialty?

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

Active since December 21, 2017PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650(301) 475-8981(240) 434-7007 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2019, Dec 21, 2017 (2 updates tracked since 2017).

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About Bharadwaj Nivarthi Md NPPES

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

BHARADWAJ NIVARTHI MD (NPI 1902312358) is an individual internal medicine provider in Leonardtown, Maryland, licensed in Maryland (D87045) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains a secondary practice location in Perth Amboy.

NPPES Registry Identity

NPI1902312358

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBHARADWAJ NIVARTHICredential: MD

Location Address25500 POINT LOOKOUT RDLeonardtown, MD 20650

Mailing Address25500 Point Lookout RdLeonardtown, MD 20650-2015 · (301) 475-8981 · Fax (240) 434-7007

Phone(301) 475-8981

Fax(240) 434-7007

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 21, 2017

Last NPPES UpdateMay 24, 20192 updates tracked since enumeration

✔ NPI 1902312358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D87045

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.

25500 POINT LOOKOUT RD, Leonardtown, MD 20650

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Secondary Practice Location 1

Location 1530 New Brunswick AvePerth Amboy, NJ 08861-3654 · Phone (732) 324-5080 · Fax (732) 324-4669

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bharadwaj Nivarthi 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 ID1658604202

PECOS Enrollment IDI20190613000443

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.

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.

910 services296 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.

207 services193 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.

64 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20650 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

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

4 suppliers58 claims58 services$15.90 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

4 suppliers58 claims58 services$80.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. JEAN PIERRE EL KHOURY M.D.

Internal Medicine (Critical Care Medicine)