Individual provider Active NPI

Kamal S Bhatia, M.D.

  • Psychiatry Physician
  • Woodstock, MD
National Provider Identifier
1255568010
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0077312 Issued in MD
Practice address
10709 Birmingham Way
Woodstock, MD 21163-1403
Phone
(301) 288-1028
NPI assigned
Jun 18, 2009
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101283074 VA
Psychiatry Physician 2084P0800X MD600004989 DC
Psychiatry Physician 2084P0800X D0077312 MD Primary

Addresses

Primary practice location

10709 Birmingham Way
Woodstock, MD 21163-1403

Mailing address

10709 Birmingham Way
Woodstock, MD 21163-1403
Phone (301) 288-1028

Other practice location 1

1101 Wootton Pkwy Ste 960
Rockville, MD 20852-1087
Phone (301) 288-1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250618000101 MD Practitioner - Psychiatry 7517282858 Reassigns benefits to 1 organization
I20250620002217 DC Practitioner - Psychiatry 7517282858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101283074VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Life LLC Psychiatry CurrentSince Nov 1, 2025 Accepting new patients
Kamal Bhatia MD LLC Psychiatry CurrentSince Jan 31, 2024 Accepting new patients

Locations

10215 Fernwood Rd
Ste 520
Bethesda, MD 20817
Phone (301) 288-1028

316 E Diamond Ave
Gaithersburg, MD 20877
Phone (301) 345-1102

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

1101 Wootton Pkwy
Ste 960
Rockville, MD 20852
Phone (301) 288-1028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1255568010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 BIRMINGHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631403",
            "telephone_number": "301-288-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 BIRMINGHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631403",
            "telephone_number": "301-288-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Wootton Pkwy Ste 960",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521087",
            "country_code": "US",
            "telephone_number": "301-288-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "KAMAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101283074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD600004989",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0077312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, MD

Sources for this page

Verify at the official NPI Registry.