NPIMap

Individual provider Active NPI

Chirdeep Bhutani, MD

  • Vascular & Interventional Radiology Physician
  • Sacramento, CA
National Provider Identifier
1346281284
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
C145491 Issued in CA
Practice address
3301 C St
Suite 500
Sacramento, CA 95816-3300
Phone
(916) 556-3300
NPI assigned
Jun 10, 2006
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 4301082382 MI
Diagnostic Radiology Physician 2085R0202X C145491 CA
Diagnostic Radiology Physician 2085R0202X 4301082382 MI
Vascular & Interventional Radiology Physician 2085R0204X C145491 CA Primary

Addresses

Primary practice location

3301 C St
Suite 500
Sacramento, CA 95816-3300

Mailing address

3400 Data Dr
Quality Deptartment
Rancho Cordova, CA 95670-7956

Other identifiers 1

IdentifierTypeStateIssuer
4875836MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170126002393 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6800809765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C145491CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 2, 2017 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 2, 2017 Accepting new patients
Sequoia Health Services Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients
Covenant Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

6555 Coyle Ave
Ste 180
Carmichael, CA 95608
Phone (916) 536-2408

6660 Coyle Ave
Ste 360
Carmichael, CA 95608
Phone (916) 536-3060

7115 Greenback Ln
Fl 1
Citrus Heights, CA 95621
Phone (916) 536-2442

1264 Hawks Flight Ct
Ste 100
El Dorado Hills, CA 95762
Phone (916) 933-4222

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

9394 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 351-4800

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

550 W Ranch View Dr
Ste 3100
Rocklin, CA 95765

1380 Lead Hill Blvd
Roseville, CA 95661
Phone (916) 990-1214

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300

3301 C St
Ste 550
Sacramento, CA 95816
Phone (916) 556-3131

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

2081 Bronze Star Dr
Woodland, CA 95776
Phone (530) 668-2600

Interoperability endpoints

  • Direct secure messaging: cbhutani363068@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1346281284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "QUALITY DEPTARTMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-556-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUTANI",
        "first_name": "CHIRDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MI",
            "license": "4301082382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C145491",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301082382",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "C145491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4875836",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.