Individual provider Active NPI

Supriya Bhat, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1083939201
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A125246 Issued in CA
Practice address
580 Valencia St
San Francisco, CA 94110-1115
Phone
(415) 593-1136
Fax
(415) 252-7176
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125246 CA Primary

Addresses

Primary practice location

580 Valencia St
San Francisco, CA 94110-1115

Mailing address

130 Sutter St FL 2
Attn: Credentialing
San Francisco, CA 94104-4009
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161220000504 CA Practitioner - Internal Medicine 1052692696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

2145 University Ave
Berkeley, CA 94704-1025
Phone (510) 225-1025

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331

580 Valencia St
San Francisco, CA 94110-1115
Phone (415) 593-1136

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125246CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients

Locations

1955 Broadway
Ste A
Oakland, CA 94612

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

580 Valencia St
San Francisco, CA 94110
Phone (415) 593-1136

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Organizations & group practices 2

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 2

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1083939201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VALENCIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101115",
            "telephone_number": "415-593-1136",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "SUPRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.