Individual provider Active NPI

Neerav Jay Bhatla, M.D.

  • Pain Medicine Physician
  • Keller, TX
National Provider Identifier
1124233689
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
P1049 Issued in TX
Practice address
651 S Main St Ste 105
Keller, TX 76248-7037
Phone
(817) 348-8600
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P1049 TX
Pain Medicine Physician 208VP0000X P1049 TX Primary

Addresses

Primary practice location

651 S Main St Ste 105
Keller, TX 76248-7037

Mailing address

4301 N Macarthur Blvd
Ste 101
Irving, TX 75038-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120817000216 TX Practitioner - AnesthesiologyPractitioner - Pain Management 6507029402 Reassigns benefits to 1 organization
I20160729001186 TX Practitioner - Pain Management 6507029402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ved V Aggarwal MD PAGroup PAC ID 3072592252, 11 clinicians

Practice addresses (Care Compare)

1000 Lipscomb St
Suite 110
Fort Worth, TX 76104-3181
Phone (817) 348-8600

651 S Main St
Suite 105
Keller, TX 76248-7037
Phone (817) 348-8600

Hospital & facility affiliations

  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1049TXMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ved V Aggarwal MD PA Pain Medicine CurrentSince Jul 1, 2016 Accepting new patients
Summit Pain & Anesthesia Consultants Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
Ved V Aggarwal MD PA Pain Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

1000 Lipscomb St
Ste 110
Ft Worth, TX 76104

651 S Main St
Ste 105
Keller, TX 76248
Phone (817) 741-0800

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Organizations & group practices 3

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 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1124233689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MAIN ST STE 105",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487037",
            "telephone_number": "817-348-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATLA",
        "first_name": "NEERAV",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P1049",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "P1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.