NPIMap

Chander S Bhatia, MD

Individual provider Active NPI Emergency Medicine Physician · Grants, NM

NPI 1265489389 · NPPES record last updated Nov 7, 2008

Key facts

NPI
1265489389
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
97-191 (NM)
Practice address
1016 E Roosevelt Ave
Emergency Department
Grants, NM 87020-2118
Phone
(505) 287-5260
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Hospital Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Vista Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 97-191 NM Yes

Addresses

Primary practice location

1016 E Roosevelt Ave
Emergency Department
Grants, NM 87020-2118

Mailing address

3200 Blue Hill Ave
Gallup, NM 87301-6933
Phone (505) 726-8261

Other providers in Grants, NM

All providers in Grants, NM · Emergency Medicine Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.