Active NPI
Ishwar Bhattarai
- Family Medicine Physician
- Washington, PA
National Provider Identifier
1215548110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MT221959
- Practice address
- 95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368 - Phone
- (724) 223-3100
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT221959 | PA | Primary |
Addresses
Primary practice location
95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
Mailing address
95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
Phone (724) 223-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20210902002701 | PA | Practitioner - Family Practice | 8527464379 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT221959 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Washington | Family Medicine | Current | Accepting new patients |
| Concordia Hospice of Washington | Family Medicine | Current | Accepting new patients |
Locations
95 Leonard Ave
Bldg 22ND
Washington, PA 15301
Phone (724) 223-3100
95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100
95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1215548110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 LEONARD AVE BLDG 22ND",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368",
"telephone_number": "724-223-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LEONARD AVE BLDG 22ND",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368",
"telephone_number": "724-223-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATTARAI",
"first_name": "ISHWAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT221959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.