Active NPI
Anita Bhamidipati, MD
- Emergency Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA10324400
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2627
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD466547 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 25MA10324400 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
175 Madison Ave
Mount Holly, NJ 08060-2038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180816001435 | NJ | Practitioner - Emergency Medicine | 4486903986 | Reassigns benefits to 2 organizations |
| I20200528002288 | PA | Practitioner - Emergency Medicine | 4486903986 | Reassigns benefits to 5 organizations |
| I20221012003753 | FL | Practitioner - Emergency Medicine | 4486903986 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 S Congress Ave
HCA Florida JFK Medical Center
Atlantis, FL 33462-1197
Phone (561) 965-7300
Hospital & facility affiliations
- HCA Florida JFK Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10324400 | NJ | MD | Emergency Medicine Physician |
| MD466547 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Hill Clinic Company, LLC | Single Specialty | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Single Specialty | Current | Accepting new patients |
| On Demand Urgent Care Group PC | Single Specialty | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Emergency Physician Associates of South Jersey P C | Single Specialty | Current | Accepting new patients |
| West Grove Clinic Company LLC | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Single Specialty | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Single Specialty | Current | Accepting new patients |
| West Grove Clinic Company LLC | Current | Accepting new patients | |
| Chestnut Hill Clinic Company, LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Single Specialty | Current | Accepting new patients |
| Pottstown Clinic Company LLC | Single Specialty | Current | Accepting new patients |
| On Demand Urgent Care Group PC | Past | Accepting new patients | |
| Fort Pierce Orthopaedics LLC | Single Specialty | Past | Accepting new patients |
Locations
5301 S Congress Ave
Fl Jfk
Atlantis, FL 33462
Phone (561) 236-9361
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240
1011 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (610) 869-0680
8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
FL, Single Specialty
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
NJ, Single Specialty
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
NJ, Single Specialty
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1508936071
PA, Single Specialty
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1053729814
PA, Single Specialty
-
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
PA, Single Specialty
-
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
PA, Single Specialty
-
- Family Medicine Physician
- West Grove, PA
- NPI 1790856078
PA, Single Specialty
-
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1811611692
-
- Neurology Physician
- Phoenixville, PA
- NPI 1275173957
-
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
Single Specialty
-
- Neurology Physician
- West Grove, PA
- NPI 1093355992
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1134582067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAMIDIPATI",
"first_name": "ANITA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD466547",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10324400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.