Individual provider Active NPI

Neeti Bathia, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Mateo, CA
National Provider Identifier
1295930907
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A118185 Issued in CA
Practice address
1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372
Phone
(650) 306-9490
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A118185 CA Primary

Addresses

Primary practice location

1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372

Mailing address

1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372
Phone (650) 306-9490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@remedydocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000803 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 3476720376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians

Practice addresses (Care Compare)

1900 Ofarrell St
Suite 190
San Mateo, CA 94403-1372
Phone (650) 306-9490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118185CAMDMarriage & Family Therapist
A118185CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Medical Group CurrentSince May 10, 2018 Accepting new patients
The Physiatry Medical Group, Inc Sports Medicine CurrentSince Jul 1, 2014 Accepting new patients
Sequoia Health Services Past Accepting new patients
Sports Orthopedic and Rehabilitation Medicine Associates Sports Medicine Past Accepting new patients

Locations

1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322

500 Arguello St
Ste 100
Redwood City, CA 94063
Phone (650) 581-4900

490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: neetibathia@tpmg.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1295930907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 190",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031372",
            "telephone_number": "650-306-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 190",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031372",
            "telephone_number": "650-306-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHIA",
        "first_name": "NEETI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A118185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@remedydocs.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1900 OFarrell St Ste 190",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944031372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.