Individual provider Active NPI

Supriya Kumari Bhatia, M.D.

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1326209024
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
29198 Issued in NE
Practice address
780567 California PLZ
Omaha, NE 68178-0012
Phone
(402) 280-2256
Fax
(402) 280-1589
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A110168 CA
Psychiatry Physician 2084P0800X MD157245 OR
Psychiatry Physician 2084P0800X 29198 NE Primary

Addresses

Primary practice location

780567 California PLZ
Omaha, NE 68178-0012

Mailing address

780567 California PLZ
Omaha, NE 68178-0567
Phone (402) 280-2256

Other practice location 1

3181 SW Sam Jackson Park Rd
Multnomah Pavilion, Room 2316
Portland, OR 97239-3098
Phone (503) 494-8144

Other practice location 2

14092 Boys Town Hospital Road
Boys Town, NE 68010
Phone (531) 355-1449

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110168CAMDPsychiatry Physician
29198NEMDPsychiatry Physician
MD157245ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Omaha Mindful Medicine and Therapy LLC Psychiatry Current Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: supriyabhatia@tdh.allscriptsdirect.net
  • Direct secure messaging: supriya.bhatiamd.p1@direct.charlesdrew.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1326209024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780567 CALIFORNIA PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780567",
            "telephone_number": "402-280-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780567 CALIFORNIA PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780012",
            "telephone_number": "402-280-2256",
            "fax_number": "402-280-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "Multnomah Pavilion, Room 2316",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393098",
            "country_code": "US",
            "telephone_number": "503-494-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14092 Boys Town Hospital Road",
            "address_purpose": "LOCATION",
            "city": "Boys Town",
            "state": "NE",
            "postal_code": "68010",
            "country_code": "US",
            "telephone_number": "531-355-1449",
            "fax_number": "531-355-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "SUPRIYA",
        "middle_name": "KUMARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110168",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD157245",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "29198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.