Individual provider Active NPI

Shuchi V Bhatt, MD

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1174549836
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0053930 Issued in MD
Practice address
6000 Executive Blvd
Suite 310
Rockville, MD 20852
Phone
(301) 881-7995
Fax
(301) 881-8451
NPI assigned
Jul 14, 2006
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0053930 MD Primary

Addresses

Primary practice location

6000 Executive Blvd
Suite 310
Rockville, MD 20852

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412

Other practice location 1

6000 Executive Blvd
Suite 310
Rockville, MD 20852
Phone (301) 881-7995

Other names 1

  • Shuchismita V Bhatt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20141208001043 DC Practitioner - Pediatric Medicine 4587986237 Reassigns benefits to 3 organizations
I20141209001711 MD Practitioner - Pediatric Medicine 4587986237 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053930MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Feb 2, 2020 Accepting new patients
Privia Care Center LLC Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince Oct 20, 2014 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Oct 20, 2014 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics Current Accepting new patients
Privia Care Center LLC Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Oct 20, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 2, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

14955 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 990-3190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shuchi.bhatt.1@8042.direct.athenahealth.com

Organizations & group practices 10

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1174549836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD",
            "address_2": "SUITE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-881-7995",
            "fax_number": "301-881-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Executive Blvd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20852",
            "country_code": "US",
            "telephone_number": "301-881-7995",
            "fax_number": "301-881-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATT",
        "first_name": "SHUCHI",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUCHISMITA",
            "last_name": "BHATT",
            "middle_name": "V",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.