Punit Bhutwala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45176 Issued in GA

Practice address

609 Magnolia Vale Dr
Chattanooga, TN 37419-2185

Phone

(423) 825-1991

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TN2 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

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Group practices

TNT Medical Enterprises LLCGroup PAC ID 0042574329, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
• Center for Advanced Rehab at Parkside, the Nursing home, Rossville, GA, CCN 115040

Merit-based Incentive Payment System (MIPS)

Final score

11.55 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

38.48

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Willowbrook Hospice LLC

  • Community Based Hospice Care Agency
  • Cartersville, GA
  • NPI 1992355796

  Contracted Managing Employee

  CMS ownership

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.

• TNT Medical Enterprises, LLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1104331420

  GA

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment NPD
• Battlefield Internal Medicine Group, PC

  • Internal Medicine Physician
  • Ft Oglethorpe, GA
  • NPI 1306893326
  NPD (past) Authorized official
• Diagnostic Center

  • Pulmonary Disease Physician
  • Chattanooga, TN
  • NPI 1649269366

  Internal Medicine

  NPD (past)
• North Georgia Plastic Surgery LLC

  • Plastic Surgery Physician
  • Ft Oglethorpe, GA
  • NPI 1245399260
  NPD (past)
• Parkside Operation LLC

  • Skilled Nursing Facility
  • Rossville, GA
  • NPI 1023476595
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Ringgold, GA
  • NPI 1548218290
  Care Compare affiliation
• Parkside Operation LLC

  • Skilled Nursing Facility
  • Rossville, GA
  • NPI 1023476595

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1316919384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460100",
            "telephone_number": "706-861-0004",
            "fax_number": "706-861-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAGNOLIA VALE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192185",
            "telephone_number": "423-825-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Battlefield Crossing Ct",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307365176",
            "country_code": "US",
            "telephone_number": "706-861-0004",
            "fax_number": "706-861-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 McFarland Ave",
            "address_purpose": "LOCATION",
            "city": "Rossville",
            "state": "GA",
            "postal_code": "307412215",
            "country_code": "US",
            "telephone_number": "423-825-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHUTWALA",
        "first_name": "PUNIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "30069",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "45176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoo Bhakta, MD
• Anil Kumar Bhatia, M.D.
• Syamal Dave Bhattacharya, M.D.
• Prameet Jagdish Bhushan, M.D.
• Sumeet Jagdish Bhushan, MD
• Bi Lo Pharmacy
• Melissa Bible
• William Bible, PA
• John T Bickel, MD
• Jaramie David Bickford, CSFA, RFA

• Internal Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.