Active NPI
Abhijit D Bhat, R.D.
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1235440322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005279
- Practice address
- 2003 W Fulton St
Suite 105
Chicago, IL 60612-2345 - Phone
- (312) 850-3438
- NPI assigned
- Jun 23, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164005279 | IL | Primary |
Addresses
Primary practice location
2003 W Fulton St
Suite 105
Chicago, IL 60612-2345
Mailing address
2003 W Fulton St
Suite 105
Chicago, IL 60612-2345
Phone (312) 850-3438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164005279 | Other | IL | IL LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1235440322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 W FULTON ST",
"address_2": "SUITE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-850-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W FULTON ST",
"address_2": "SUITE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-850-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAT",
"first_name": "ABHIJIT",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "164005279",
"state": "IL"
}
],
"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 Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.