DR. SHOBANA BHARADWAJ (M.D.) – Anesthesiology Physician, NPI 1043257579

DR. SHOBANA BHARADWAJ (M.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. D0060164 (MD). The NPI Number for DR. SHOBANA BHARADWAJ (M.D.) is 1043257579

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHOBANA BHARADWAJ (M.D.)
NPI
1043257579
Phone
(410) 328-6720
Address
PO BOX 64374
Enumeration Date
1 June 2006
Last Update Date
7 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
66721416161628
Graduation Year
1996 (30 years ago)
PAC ID
9830181668
Group Practice PAC ID
8022905306
Professional Enrollment ID
I20040401000602
Address ID
MD212011544BA22XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,397 ANESTHESIOLOGY in MD

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Provider Addresses for DR. SHOBANA BHARADWAJ (M.D.)

  • Box Circle, Victory Villa, Middle River, Baltimore County, Maryland, 21221, United States

    BALTIMORE, MD 212644374

    Phone: (410) 328-6720

    Fax: (410) 328-1674

    Type: Mailing

  • Paca-Pratt Building, 110, South Paca Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States

    SUITE 300 6TH FL

    BALTIMORE, MD 212011609

    Phone: (410) 328-6720

    Fax: (410) 328-1674

    Type: Location

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: 2004-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040401000602IAnesthesiologyMDTBD

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.

Verify on CMS Revalidation Lookup Tool

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 21264)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022905306View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Critical Care (Intensivists)MD
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMD
-MD
Certified Registered Nurse Anesthetist (Crna)MD

Reviews

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Frequently asked questions

What NPI should I save for DR. SHOBANA BHARADWAJ (M.D.)?
Save NPI 1043257579 if you need a stable reference for DR. SHOBANA BHARADWAJ (M.D.).
Is DR. SHOBANA BHARADWAJ (M.D.)'s NPI currently valid?
The extract we use shows DR. SHOBANA BHARADWAJ (M.D.) as active.
What field does DR. SHOBANA BHARADWAJ (M.D.) work in?
You can think of DR. SHOBANA BHARADWAJ (M.D.) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SHOBANA BHARADWAJ (M.D.)?
The snapshot lists Baltimore, Maryland for DR. SHOBANA BHARADWAJ (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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