Active NPI
Eesha R Bhattacharyya, MD
- Obstetrics & Gynecology Physician
- Kailua, HI
National Provider Identifier
1366476376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD6989
- Practice address
- 642 Ulukahiki St
Ste 209
Kailua, HI 96734-4400 - Phone
- (808) 230-8500
- Fax
- (808) 230-8501
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD6989 | HI | Primary |
Addresses
Primary practice location
642 Ulukahiki St
Ste 209
Kailua, HI 96734-4400
Mailing address
642 Ulukahiki St
Ste 209
Kailua, HI 96734-4400
Phone (808) 230-8500
Other practice location 1
1329 Lusitana St Ste 508
Honolulu, HI 96813-2412
Phone (808) 888-3449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285965822 | Other | HI | NOMORECLIPBOARD |
| 94359 | Other | HI | HMSA |
| 072533 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051004000103 | HI | Practitioner - Obstetrics/Gynecology | 6709811847 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Koolau Womens Health Care Inc
Practice addresses (Care Compare)
642 Ulukahiki St
Suite 209
Kailua, HI 96734-4439
Phone (808) 230-8500
Hospital & facility affiliations
- Adventist Health Castle
- The Queens Medical Center
- Kapiolani Medical Center for Women & Children
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6989 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Medical Center | Past | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients |
Interoperability endpoints
- eesha.bhattacharyya@hawaiihie.medicity.net
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.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639785600000",
"number": "1366476376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 ULUKAHIKI ST",
"address_2": "STE 209",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344400",
"telephone_number": "808-230-8500",
"fax_number": "808-230-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 ULUKAHIKI ST",
"address_2": "STE 209",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344400",
"telephone_number": "808-230-8500",
"fax_number": "808-230-8501"
}
],
"practiceLocations": [
{
"address_1": "1329 Lusitana St Ste 508",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968132412",
"country_code": "US",
"telephone_number": "808-888-3449",
"fax_number": "808-230-8501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHATTACHARYYA",
"first_name": "EESHA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-12-18",
"certification_date": "2021-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "MD6989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOMORECLIPBOARD",
"identifier": "1285965822",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "94359",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072533",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.
- 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.