Individual provider Active NPI

Sandeep K Bhatia, M.D.

  • Ophthalmology Physician
  • Jenks, OK
National Provider Identifier
1003034927
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036126605 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036126605MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OK, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101110001114 IL Practitioner - Ophthalmology 7719172162 Reassigns benefits to 1 organization
I20220405001007 OK Practitioner - Ophthalmology 7719172162 Reassigns benefits to 2 organizations
I20220629000677 TX Practitioner - Ophthalmology 7719172162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Oklahoma Medical Eye GroupGroup PAC ID 7719291202, 9 clinicians

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

ProcedureNumber of procedures
Cataract surgery500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2060-850WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shifrin Group LLC Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Illinois College of Optometry CurrentSince Sep 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 30, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 30, 2022 Accepting new patients
Oklahoma Medical Eye Group Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 30, 2022 Accepting new patients
Lakeshore Ophthalmology PLLC Ophthalmology CurrentSince Jun 22, 2020 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sbhatia@oklahomamedicaleye.intellechartdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.