Bhadresh L Bhakta, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

21668 Issued in OK

Practice address

8556 E 101St St
Suite a
Tulsa, OK 74133-7033

Phone

(918) 369-5511

Fax

(918) 369-5512

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Interventional Pain Management

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhadresh.bhakta@direct.stjohnhealthsystem.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JFHEAA

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.

• Pain Diagnosis and Treatment Center, PLLC

  • Interventional Pain Medicine Physician
  • Tulsa, OK
  • NPI 1841489333
  Medicare reassignment NPD Authorized official
• Venkatesh Movva MD PLLC

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1831115088
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1184606550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-5511",
            "fax_number": "918-369-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-5511",
            "fax_number": "918-369-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "BHADRESH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "21668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7902202",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Thomas Bezan, DMD
• Tracy Lynn Bezner, MD
• BGD NM LLC
• Satish Bhadriraju, MD
• Ashesh Bhakta, D.O.
• Kusum Bhandari, MD
• Rajesh Bhandari, MD
• Ambarish Jayant Bhat, M.D.
• Neal Bhatt
• Nirav Bhatt, O.D.

• Interventional Pain Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.

Verify at the official NPI Registry.