Active NPI
Aditi Bhaduri, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- C55649
- Practice address
- 2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302 - Phone
- (916) 746-2343
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Health Service Clinic/Center
- Redwood Valley, CA
- NPI 1003826009
CA
-
- Rural Health Clinic/Center
- Etna, CA
- NPI 1336330646
-
- Family Medicine Physician
- Orleans, CA
- NPI 1386726032
-
- General Practice Physician
- Happy Camp, CA
- NPI 1952483406
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
-
- Endocrinology, Diabetes & Metabolism Physician
- Atlanta, GA
- NPI 1720023393
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fall River Mills, CA
- NPI 1912125667
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Telemedicine Group PCSiskiyou Hospital Inc
Practice addresses (Care Compare)
3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721
444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121
Hospital & facility affiliations
- Mayers Memorial Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013001026 | CA | Practitioner - Endocrinology | 2668417569 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55649 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 045852 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karuk Tribe | Current | Accepting new patients | |
| Mayers Memorial Hospital District | Current | Accepting new patients | |
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Karuk Tribe | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Consolidated Tribal Health Project, Inc. | Current | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients | |
| Karuk Tribe | Past | Accepting new patients | |
| Ernest W. Beasley, Jr, MD, PC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Locations
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
6991 N State St
Redwood Vly, CA 95470
Phone (707) 467-5620
3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628
3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721
2510 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (279) 600-4411
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
1515 S Oregon St
Yreka, CA 96097
Phone (530) 841-1783
1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200
Interoperability endpoints
- https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4
- telemed2u.aditibhaduri@160918.advancedmd-direct.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | C55649 | CA | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 045852 | GA |
Addresses
NPPES NPI RegistryPrimary practice location
2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302
Mailing address
3021 Vittoria Loop
Dublin, CA 94568-2576
Phone (209) 566-0029
Other practice location 1
5667 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1725
Phone (404) 256-0775
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| C55649 | Other | CA | MEDICAL LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2018.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1114029329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 VITTORIA LOOP",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682576",
"telephone_number": "209-566-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 DOUGLAS BLVD STE 300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613302",
"telephone_number": "916-746-2343"
}
],
"practiceLocations": [
{
"address_1": "5667 Peachtree Dunwoody Rd NE",
"address_2": "SUITE 150",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421725",
"country_code": "US",
"telephone_number": "404-256-0775",
"fax_number": "404-459-8426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHADURI",
"first_name": "ADITI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "C55649",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "045852",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C55649",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.