NPIMap

Individual provider Active NPI

Shaun M.Z. Bhatty, MD

  • Clinical Cardiac Electrophysiology Physician
  • Zanesville, OH
National Provider Identifier
1316107154
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35.132005 Issued in OH
Practice address
955 Bethesda Dr FL 1
Zanesville, OH 43701-1873
Phone
(740) 454-0804
Fax
(740) 454-7171
NPI assigned
Jun 16, 2008
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101249288 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 27026 WV
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.132005 OH Primary

Addresses

Primary practice location

955 Bethesda Dr FL 1
Zanesville, OH 43701-1873

Mailing address

955 Bethesda Dr FL 1
Zanesville, OH 43701-1873
Phone (740) 454-0804

Other identifiers 1

IdentifierTypeStateIssuer
0235417MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907001415 OH Practitioner - Cardiac Electrophysiology 5193997435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

955 Bethesda Dr
FL 1
Zanesville, OH 43701-1873
Phone (740) 454-0804

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249288VAMDInternal Medicine Physician
27026WVMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Genesis Medical Group, LLC CurrentSince Sep 1, 2017 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Genesis Healthcare System Past Accepting new patients

Locations

1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804

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

Hospital & facility affiliations 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1316107154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BETHESDA DR FL 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011873",
            "telephone_number": "740-454-0804",
            "fax_number": "740-454-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BETHESDA DR FL 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011873",
            "telephone_number": "740-454-0804",
            "fax_number": "740-454-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTY",
        "first_name": "SHAUN",
        "middle_name": "M.Z.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249288",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WV",
            "license": "27026",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.132005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.