Individual provider Active NPI

Mohammad Azeem Bhatti, MD

  • Urology Physician
  • Somerset, NJ
National Provider Identifier
1093788101
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA08256000 Issued in NJ
Practice address
1205 Easton Ave
Suite 201
Somerset, NJ 08873-1672
Phone
(732) 325-0050
Fax
(732) 325-0071
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD070689-L PA
Urology Physician 208800000X 25MA08256000 NJ Primary

Addresses

Primary practice location

1205 Easton Ave
Suite 201
Somerset, NJ 08873-1672

Mailing address

1205 Eason Avenue
Ste 201
Somerset, NJ 08873-1672
Phone (732) 325-0050

Other identifiers 5

IdentifierTypeStateIssuer
CC9269OtherPARR MEDICARE GROUP
0018084190001MedicaidPA
039846OtherPTAN
1699088120OtherNPI
340020011OtherPARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090403000194 NJ Practitioner - Urology 4880741065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1205 Easton Ave
Suite 201
Somerset, NJ 08873-1672
Phone (732) 325-0050

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08256000NJMDUrology Physician
MD070689-LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Enterprises Inc Past Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbhatti59330@epicdirect.rwjbh.org
  • Direct secure messaging: mohammad.bhatti.1@27806.direct.athenahealth.com

Organizations & group practices 4

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1093788101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 EASON AVENUE",
            "address_2": "STE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731672",
            "telephone_number": "732-325-0050",
            "fax_number": "732-325-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 EASTON AVE",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731672",
            "telephone_number": "732-325-0050",
            "fax_number": "732-325-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTI",
        "first_name": "MOHAMMAD",
        "middle_name": "AZEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD070689-L",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08256000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018084190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "039846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699088120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340020011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.