NITIN BAJAJ (DO) – Physical Medicine & Rehabilitation Physician, NPI 1063916484
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,149 PHYSICAL MEDICINE AND REHABILITATION in CA
Provider Addresses for NITIN BAJAJ (DO)
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
300 STEIN PLAZA SUITE 420
LOS ANGELES, CA 900959247
Phone: (310) 825-5111
Type: Location
1200 N State St
Los Angeles, CA 900331083
Phone: (323) 409-5707
Type: Location
26401 Pacific Hwy S Ste 101
Des Moines, WA 981989247
Phone: (206) 870-3590
Type: Location
955 POWELL AVE SW
RENTON, WA 980572908
Phone: (425) 277-1311
Type: Mailing
26401 PACIFIC HWY S STE 101
DES MOINES, WA 981989247
Phone: (206) 870-3590
Type: Location
1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States
LOS ANGELES, CA 900331083
Phone: (323) 409-5707
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210820002643 | I | Pediatric Medicine | WA | TBD |
| I20250718002310 | I | Physical Medicine And Rehabilitation | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90045)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Neurology, Critical Care (Intensivists) | CA | |
| N E U R O S U R G E R Y | CA | |
| N E U R O S U R G E R Y | CA | |
| N E U R O S U R G E R Y | CA | |
| Nurse Practitioner | CA | |
| N E U R O S U R G E R Y | CA | |
| Nurse Practitioner | CA | |
| N E U R O S U R G E R Y | CA | |
| Physical Medicine And Rehabilitation | CA |
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