SHISHIRA S BHARADWAJ (MD) – Gastroenterology Physician, NPI 1457587172
Gastroenterology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,828 INTERNAL MEDICINE in IL
Provider Addresses for SHISHIRA S BHARADWAJ (MD)
11234 ANDERSON ST # MC-1516
LOMA LINDA, CA 923542804
Phone: (630) 639-2544
Type: Mailing
2490 S WOODWORTH LOOP STE 200
PALMER, AK 996457410
Phone: (630) 639-2544
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
4 Glen Cove Dr Ste 10
Rockport, ME 048564235
Phone: (207) 301-5790
Fax: (207) 301-5310
Type: Location
601 John St Ste M-302
Kalamazoo, MI 490075357
Phone: (269) 349-2266
Type: Location
21 Eastern Ave
Worcester, MA 016053094
Phone: (508) 334-3068
Type: Location
28 Newton St
Southborough, MA 017721215
Phone: (508) 334-3068
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-3068
Type: Location
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441959297
Phone: (440) 665-6661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $19 |
| Celgene Corporation | $14 |
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: 2024-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20210122001037 | I | Gastroenterology | MA | TBD |
| I20220328001506 | I | Gastroenterology | MI | TBD |
| I20230323002114 | I | Gastroenterology | AK | TBD |
| I20240228003277 | I | Gastroenterology | IL | TBD |
| I20240718004561 | I | Internal Medicine | TX | TBD |
| I20241224001280 | I | Gastroenterology | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 169 | 80 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 156 | 151 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 89 | 85 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 79 | 79 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 73 | 73 | $0 |
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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