Individual provider Active NPI

Suman Ashok Bhat, M.D.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1144250234
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0049369 Issued in FL
Practice address
613 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33603-3400
Phone
(813) 237-1958
Fax
(813) 237-8147
NPI assigned
Jul 4, 2006
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0049369 FL Primary

Addresses

Primary practice location

613 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33603-3400

Mailing address

613 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33603-3400
Phone (813) 237-1958

Other identifiers 1

IdentifierTypeStateIssuer
045959300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049369FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Center Lakeland LLC PastSince Feb 1, 2021 Accepting new patients
Palm Medical Centers Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1144250234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033400",
            "telephone_number": "813-237-1958",
            "fax_number": "813-237-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033400",
            "telephone_number": "813-237-1958",
            "fax_number": "813-237-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "SUMAN",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0049369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045959300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.