Active NPI
Bharti Sachdev, MD
- Internal Medicine Physician
- Jackson, MI
National Provider Identifier
1073612172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BS063525
- Practice address
- 766 W Michigan Ave
Jackson, MI 49201 - Phone
- (517) 784-9910
- Fax
- (517) 787-4404
- NPI assigned
- Sep 22, 2006
- Last updated
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BS063525 | MI | Primary |
Addresses
Primary practice location
766 W Michigan Ave
Jackson, MI 49201
Mailing address
766 W Michigan Ave
Suite C
Jackson, MI 49201
Phone (517) 784-9910
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420053 | Other | MI | PHP |
| 5940397 | Other | MI | AETNA |
| 1103801422 | Other | MI | BCBS |
| 3386776 | Medicaid | MI |
Other names 1
- Mrs. Bharti Gupta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BS063525 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1073612172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 W MICHIGAN AVE",
"address_2": "SUITE C",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-784-9910",
"fax_number": "517-787-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-784-9910",
"fax_number": "517-787-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHDEV",
"first_name": "BHARTI",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "BS063525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0420053",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5940397",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1103801422",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3386776",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BHARTI",
"last_name": "GUPTA",
"prefix": "MRS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.