Individual provider Active NPI

Kaleyathodi Naras Bhat, MD

  • Allergy & Immunology Physician
  • Concord, CA
National Provider Identifier
1316904725
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A25677 Issued in CA
Practice address
2182 East St
Concord, CA 94520-2012
Phone
(925) 685-4224
Fax
(925) 685-6997
NPI assigned
Apr 28, 2006
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A25677 CA Primary

Addresses

Primary practice location

2182 East St
Concord, CA 94520-2012

Mailing address

2182 East St
Concord, CA 94520-2012
Phone (925) 685-4224

Other identifiers 2

IdentifierTypeStateIssuer
00A256770OtherCABLUE SHIELD INDIVIDUAL PN
ZZZ77751ZMedicaidCA

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
I20081220000045 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5890857189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians
Jiva Health Primary CareGroup PAC ID 4880756170, 8 clinicians

Practice addresses (Care Compare)

1145 Whiskeytown CT
Suite a
Redding, CA 96001-0227
Phone (925) 685-4224

141 Sand Creek Rd
Suite B
Brentwood, CA 94513-7346
Phone (925) 685-4224

1860 Mowry Ave
Suite 201
Fremont, CA 94538-1730
Phone (925) 685-4224

2001 Union St
Suite 250
San Francisco, CA 94123-4107
Phone (925) 685-4224

215 Lennon LN
Suite 200
Walnut Creek, CA 94598-2543
Phone (925) 685-4224

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4224

2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone (925) 685-4224

2601 Nut Tree Rd
Vacaville, CA 95687-6918
Phone (925) 685-4224

5173 Lone Tree Way
Antioch, CA 94531-8689
Phone (925) 685-4224

5709 Market St
Suite 100
Oakland, CA 94608-2811
Phone (925) 685-4224

5924 Stoneridge Dr
Pleasanton, CA 94588-5400
Phone (925) 685-4224

8303 Sierra College Blvd
Suite 109B
Roseville, CA 95661-9420
Phone (925) 685-4224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A25677CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health, Inc Allergy & Immunology CurrentSince Jul 1, 2021 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

5173 Lone Tree Way
Antioch, CA 94531
Phone (925) 685-4228

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

1860 Mowry Ave
Ste 201
Fremont, CA 94538
Phone (510) 284-4100

7677 Oakport St
Ste 105
Oakland, CA 94621
Phone (510) 993-0200

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

2001 Union St
Ste 250
San Francisco, CA 94123
Phone (415) 359-9999

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

215 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (770) 365-5032

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nbhat123168@hpmg.direct-ci.net

Organizations & group practices 6

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1316904725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202012",
            "telephone_number": "925-685-4224",
            "fax_number": "925-685-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202012",
            "telephone_number": "925-685-4224",
            "fax_number": "925-685-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "KALEYATHODI",
        "middle_name": "NARAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A25677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIVIDUAL PN",
            "identifier": "00A256770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77751Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.