Active NPI
Sandeep K Bhatia, M.D.
- Ophthalmology Physician
- Jenks, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036126605
- Practice address
- 224 South Gateway PL
Jenks, OK 74037 - Phone
- (918) 747-2020
- Fax
- (918) 747-2056
- NPI assigned
- Apr 23, 2007
- Last updated
- May 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2060-850 | WI | |
| Ophthalmology Physician | 207W00000X | 036126605 | IL | Primary |
Addresses
Primary practice location
224 South Gateway PL
Jenks, OK 74037
Mailing address
224 S Gateway PL
Suite 101
Jenks, OK 74037
Phone (312) 399-6690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036126605 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 S Belmont Ave
Okmulgee, OK 74447-6315
1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700
224 S Gateway PL
Suite 101
Jenks, OK 74037-3448
Phone (918) 747-2020
309 N 14TH St
Okemah, OK 74859-2028
Phone (918) 747-2020
900 W Main
Henryetta, OK 74437-4252
Phone (918) 747-2020
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 500 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2060-850 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shifrin Group LLC | Ophthalmology | Current | Accepting new patients |
| Illinois College of Optometry | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Oklahoma Medical Eye Group | Ophthalmology | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Lakeshore Ophthalmology PLLC | Ophthalmology | Current | Accepting new patients |
| Northeastern Health System | Past | Accepting new patients | |
| Creek Nation Hospital & Clinics | Past | Accepting new patients |
Locations
2525 S Michigan Ave
Fl 8
Chicago, IL 60616
Phone (312) 567-2211
3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200
22200 Wolf Rd
Frankfort, IL 60423
Phone (815) 534-5102
20303 Crawford Ave
Ste LL1
Olympia Flds, IL 60461
Phone (708) 898-1858
900 W Main St
Henryetta, OK 74437
Phone (918) 652-2345
224 S Gateway Pl
Ste 101
Jenks, OK 74037
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
9999 S Mingo Rd
Ste M
Tulsa, OK 74133
Dept 1038
Tulsa, OK 74182
Dept 1467
Tulsa, OK 74182
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sbhatia@oklahomamedicaleye.intellechartdirect.net
- sbhatia574891@ahs.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- Ophthalmology Physician
- Jenks, OK
- NPI 1902283229
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1952995474
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Ophthalmology Physician
- Olympia Fields, IL
- NPI 1184904526
-
dba Muscogee (Creek) Nation Medical Center - Native
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1861889123
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Henryetta
- General Acute Care Hospital
- Henryetta, OK
- NPI 1720053556
-
dba Muscogee (Creek) Nation Long Term Acute Care Hospital
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
dba Muscogee (Creek) Nation Medical Center
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1902236573
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
dba Fort Gibson Medical Clinic
- Rural Health Clinic/Center
- Fort Gibson, OK
- NPI 1013458652
Hospital
-
dba Tahlequah Medical Group Primary Care
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
Hospital
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1003034927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S GATEWAY PL",
"address_2": "SUITE 101",
"city": "JENKS",
"state": "OK",
"postal_code": "74037",
"telephone_number": "312-399-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 SOUTH GATEWAY PL",
"city": "JENKS",
"state": "OK",
"postal_code": "74037",
"telephone_number": "918-747-2020",
"fax_number": "918-747-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATIA",
"first_name": "SANDEEP",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2024-05-16",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "2060-850",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036126605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036126605",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.