Active NPI
Baishali Bhattacharya, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
National Provider Identifier
1174576151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 41392
- Practice address
- 4207 E Cotton Center Blvd.
Building 10
Phoenix, AZ 85040 - Phone
- (888) 276-2223
- Fax
- (972) 767-0225
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD11510 | RI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 41392 | AZ | Primary |
Addresses
Primary practice location
4207 E Cotton Center Blvd.
Building 10
Phoenix, AZ 85040
Mailing address
PO Box 840294
Dallas, TX 75284-0294
Phone (888) 344-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7056692 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41392 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1174605208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1174576151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840294",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840294",
"telephone_number": "888-344-1160",
"fax_number": "972-331-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 E COTTON CENTER BLVD.",
"address_2": "BUILDING 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85040",
"telephone_number": "888-276-2223",
"fax_number": "972-767-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATTACHARYA",
"first_name": "BAISHALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "RI",
"license": "MD11510",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "41392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7056692",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.