DR. JAG BHAWAN (MD) – Dermatology Physician, NPI 1205827250

DR. JAG BHAWAN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PATHOLOGY, DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 41853 (MA). The NPI Number for DR. JAG BHAWAN (MD) is 1205827250

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAG BHAWAN (MD)
NPI
1205827250
Phone
Not provided
Address
720 HARRISON AVE
Enumeration Date
31 October 2005
Last Update Date
20 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174146800
Graduation Year
1968 (58 years ago)
PAC ID
0345223442
Group Practice PAC ID
7012803919
Professional Enrollment ID
I20060418000274
Address ID
MA022151274BO930XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

799 PATHOLOGY in MA

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Provider Addresses for DR. JAG BHAWAN (MD)

  • Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DOB 503

    BOSTON, MA 021182371

    Phone:

    Type: Mailing

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    SHAPIRO 8

    BOSTON, MA 021182526

    Phone: (617) 638-7420

    Fax: (617) 638-7289

    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: 2006-04-18

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
I20060418000274IPathologyMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99451Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes163158$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Provider's Procedures

DR. JAG BHAWAN (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMA88304Pathology examination of tissue using a microscope, moderately low complexity6058
PATHOLOGYMA88312Special stained specimen slides to identify organisms including interpretation and report245186
PATHOLOGYMA88342Tissue or cell analysis by immunologic technique9790

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: 7012803919View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
D E R M A T O L O G YNJ
D E R M A T O L O G YMA
-MA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
Physician AssistantMA
-MA
D E R M A T O L O G YMA
-MA

Reviews

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Frequently asked questions

How is DR. JAG BHAWAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JAG BHAWAN (MD) with NPI 1205827250.
Is DR. JAG BHAWAN (MD) listed as active for patients and plans?
The listing shows DR. JAG BHAWAN (MD) as active in the NPI system.
What healthcare role does DR. JAG BHAWAN (MD) hold?
Scheduling teams often label DR. JAG BHAWAN (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JAG BHAWAN (MD) list a practice location?
Patients near Boston, Massachusetts may find DR. JAG BHAWAN (MD) in results; validate coverage separately.
Why does DR. JAG BHAWAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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