Active NPI
Neerav Jay Bhatla, M.D.
- Pain Medicine Physician
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- P1049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120817000216 | TX | Practitioner - Anesthesiology | 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 PA
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1049 | TX | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ved V Aggarwal MD PA | Pain Medicine | Current | Accepting new patients |
| Summit Pain & Anesthesia Consultants | Anesthesiology | Current | Accepting new patients |
| Ved V Aggarwal MD PA | Pain Medicine | Current | 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.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1053315382
Pain Medicine, TX
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1508895301
Anesthesiology, TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.