NPIMap

Individual provider Active NPI

Subroto Bhattacharya, MD

  • Family Medicine Physician
  • Peabody, MA
National Provider Identifier
1053341685
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207328 Issued in MA
Practice address
1 Roosevelt Ave Ste 204
Peabody, MA 01960-2227
Phone
(978) 762-6262
Fax
(978) 750-8312
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207328 MA Primary

Addresses

Primary practice location

1 Roosevelt Ave Ste 204
Peabody, MA 01960-2227

Mailing address

1 Roosevelt Ave Ste 204
Peabody, MA 01960-2227
Phone (978) 762-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000333 MA Practitioner - Family Practice 8022052885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Roosevelt Ave
Suite 204
Peabody, MA 01960-2227
Phone (978) 762-6262

Hospital & facility affiliations

  • Elara Caring Home health agency, Newburyport, MA, CCN 227503
  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207328MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danvers Family Doctors, PC Family Medicine CurrentSince Jan 1, 2001 Accepting new patients

Locations

140 Commonwealth Ave
Ste 202
Danvers, MA 01923
Phone (978) 762-6262

1 Roosevelt Ave
Ste 204
Peabody, MA 01960
Phone (978) 536-7778

Interoperability endpoints

  • Direct secure messaging: subroto.bhattacharya.1@11783.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11783/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1053341685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE STE 204",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602227",
            "telephone_number": "978-762-6262",
            "fax_number": "978-750-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE STE 204",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602227",
            "telephone_number": "978-762-6262",
            "fax_number": "978-750-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "SUBROTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "207328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.