Radheshyam Bhatt, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Atlanta, GA
NPI 1104055094 · NPPES record last updated Aug 2, 2017
Key facts
- NPI
- 1104055094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- MD184150 (OR)
- Practice address
- 12 Executive Park NE
Atlanta, GA 30329 - Phone
- (404) 712-7533
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulmonary and Sleep Physicians of Houston, P.a.
Practice addresses (Care Compare)
501 Orchard St
Suite 200
Webster, TX 77598-4146
Phone (281) 557-8555
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
- Houston Methodist Clear Lake Hospital
- HCA Houston Healthcare Clear Lake
- HCA Houston Healthcare Pearland
- Memorial Hermann Hospital System
- Pam Rehabilitation Hospital of Clear Lake
- Kindred Hospital Clear Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190103000632 | TX | Practitioner - Pulmonary Disease |
9133379324 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446566 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary and Sleep Physicians of Houston, P.a. | Pulmonary Disease | Current |
Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IICCCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | MD184150 | OR | Yes |
| Internal Medicine Physician | 207R00000X | MD446566 | PA |
Addresses
Primary practice location
12 Executive Park NE
Atlanta, GA 30329
Mailing address
10201 SE Main St
Ste 29
Portland, OR 97216-2937
Phone (503) 261-4475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308544 | Medicaid | NJ | |
| 102762326 | Medicaid | PA |
Other providers in Atlanta, GA
- Rohini Bhatia
- Nina Bhatikar
- Himakshi N Bhatt
- Kunal Nikhil Bhatt
- Pooja Bhatt
- Sahil D Bhatt
- Anushua Bhattacharya
- Sadaf Faisal Bhatti
- Hafsa Bhatty
- Ruby Blaza Bhavani
All providers in Atlanta, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.