Individual provider Active NPI

Aditi Bhaduri, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Roseville, CA
National Provider Identifier
1114029329
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C55649 Issued in CA
Practice address
2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302
Phone
(916) 746-2343
NPI assigned
Sep 1, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C55649 CA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 045852 GA

Addresses

Primary 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

IdentifierTypeStateIssuer
C55649OtherCAMEDICAL LICENSE

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
I20151013001026 CA Practitioner - Endocrinology 2668417569 Reassigns benefits to 5 organizations

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 PCGroup PAC ID 9830351824, 94 clinicians
Siskiyou Hospital IncGroup PAC ID 1254223134, 96 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55649CAMDDentist
C55649CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Tribal Health Project, Inc. CurrentSince Sep 29, 2016 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Apr 18, 2016 Accepting new patients
Karuk Tribe CurrentSince Feb 2, 2019 Accepting new patients
Karuk Tribe Current Accepting new patients
Mayers Memorial Hospital District CurrentSince Dec 29, 2018 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Ernest W. Beasley, Jr, MD, PC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Karuk Tribe PastSince Feb 2, 2025 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

2510 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (279) 600-4411

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

1515 S Oregon St
Yreka, CA 96097
Phone (530) 841-1783

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4
  • Direct secure messaging: telemed2u.aditibhaduri@160918.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.