Active NPI
Shiva Bhattarai, M.D
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125.060375
- Practice address
- 836 W Wellington Ave
1312
Chicago, IL 60657-5147 - Phone
- (773) 296-5051
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.060375 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
1312
Chicago, IL 60657-5147
Mailing address
856 W Nelson St
Apt 1305
Chicago, IL 60657-5152
Phone (773) 610-2997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180628002532 | TX | Practitioner - Internal Medicine | 3274753140 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Usacs Integrated Acute Care Services of Texas, PLLCLeading Edge Emergency Physicians, Inc
Practice addresses (Care Compare)
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150
16088 San Pedro Ave
San Antonio, TX 78232-2251
Phone (210) 402-4092
201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017
Hospital & facility affiliations
- Ascension Seton Williamson
- Dell Seton Med Center at the University of TX
- The Hospitals of Providence Horizon City Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.060375 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Leading Edge Emergency Physicians, Inc | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Leading Edge Emergency Physicians, Inc | Current | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients |
Locations
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1003165259
TX
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
Internal Medicine, TX
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Internal Medicine, TX
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
TX
-
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1902324551
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1578780870
Hospital & facility affiliations 6
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": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1194013573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 W NELSON ST",
"address_2": "APT 1305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575152",
"telephone_number": "773-610-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"address_2": "1312",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATTARAI",
"first_name": "SHIVA",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.060375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.