Individual provider Active NPI

Anita Bhamidipati, MD

  • Emergency Medicine Physician
  • Camden, NJ
National Provider Identifier
1134582067
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10324400 Issued in NJ
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

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
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
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

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 Hospital, Atlantis, FL, CCN 100080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10324400NJMDEmergency Medicine Physician
MD466547PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Clinic Company, LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Phoenixville Clinic Company LLC Single Specialty Current Accepting new patients
On Demand Urgent Care Group PC Single Specialty CurrentSince May 1, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 1, 2021 Accepting new patients
Emergency Physician Associates of South Jersey P C Single Specialty CurrentSince Mar 1, 2019 Accepting new patients
West Grove Clinic Company LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Single Specialty CurrentSince Jul 2, 2018 Accepting new patients
West Grove Clinic Company LLC CurrentSince Nov 1, 2021 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Nov 1, 2021 Accepting new patients
Phoenixville Clinic Company LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Pottstown Clinic Company LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Fort Pierce Orthopaedics LLC Single Specialty PastSince Apr 1, 2023 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

  • FHIR API: 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.

View all 14

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": "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

Verify at the official NPI Registry.