Active NPI
Ujjwala Seetha Bhagavatula, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 284294
- Practice address
- 101 Wason Ave
Springfield, MA 01107-1140 - Phone
- (413) 272-6178
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 284294 | MA | Primary |
Addresses
Primary practice location
101 Wason Ave
Springfield, MA 01107-1140
Mailing address
101 Wason Ave
Springfield, MA 01107-1140
Phone (413) 272-6178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284294 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Remo Medical Group PA | Current | Accepting new patients | |
| Brooke Grove Foundation, Inc. | Past | Accepting new patients | |
| Remo Medical Group of California PC | Geriatric Medicine | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
3007 Tilden St NW
Ste 5N
Washington, DC 20008
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
7055 Engle Rd
Middleburg Heights, OH 44130
22722 29th Dr SE
Ste 100
Bothell, WA 98021
Phone (425) 312-2512
1908 Thomes Ave
Ste 12124
Cheyenne, WY 82001
1908 Thomes Ave
Ste 12123
Cheyenne, WY 82001
Organizations & group practices 5
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.
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- NPI 1598491219
Geriatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1336592369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WASON AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071140",
"telephone_number": "413-272-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WASON AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071140",
"telephone_number": "413-272-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGAVATULA",
"first_name": "UJJWALA SEETHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "284294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.