Individual provider Active NPI

Rajindra P Bhat, MD

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1104840917
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072589B Issued in OH
Practice address
1323 W 3Rd St
Charles Drew Health Center
Dayton, OH 45402-6714
Phone
(937) 461-4336
Fax
(937) 461-9698
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 35072589B OH Primary

Addresses

Primary practice location

1323 W 3Rd St
Charles Drew Health Center
Dayton, OH 45402-6714

Mailing address

1323 W 3Rd St
Charles Drew Health Center
Dayton, OH 45402-6714
Phone (937) 461-4336

Other identifiers 1

IdentifierTypeStateIssuer
2323097MedicaidOH

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

LicenseStateTypeSpecialty
35072589BOHMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1104840917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "address_2": "CHARLES DREW HEALTH CENTER",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-461-4336",
            "fax_number": "937-461-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "address_2": "CHARLES DREW HEALTH CENTER",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-461-4336",
            "fax_number": "937-461-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "RAJINDRA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072589B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.