Active NPI
Jayshree S Bhatt MD PC
- Family Medicine Physician
- Munster, IN
National Provider Identifier
1396942124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01033072
- Legal business name
- JAYSHREE S BHATT MD PC
- Practice address
- 9124 Columbia Ave
Suite B
Munster, IN 46321-2907 - Phone
- (219) 836-0445
- Fax
- (219) 836-0463
- NPI assigned
- Jun 27, 2007
- Organization subpart
- Yes
- Parent organization
- JAYSHREE S BHATT MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayshree S Bhatt, M.D.
- Title
- Physician
- Phone
- (219) 836-0445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01033072 | IN | Primary |
Addresses
Primary practice location
9124 Columbia Ave
Suite B
Munster, IN 46321-2907
Mailing address
9124 Columbia Ave Ste B
Munster, IN 46321-2907
Phone (219) 836-0445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831106186 | Other | IN | INDIVIDUAL NPI |
| 080185321 | Other | IN | RAILROAD MEDICARE |
Other names 1
- Jayshree S Bhatt MD PC
National Provider Directory
National Provider Directory- Part of
- Jayshree S Bhatt MD PC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1396942124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9124 COLUMBIA AVE STE B",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212907",
"telephone_number": "219-836-0445",
"fax_number": "219-836-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9124 COLUMBIA AVE",
"address_2": "SUITE B",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212907",
"telephone_number": "219-836-0445",
"fax_number": "219-836-0463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYSHREE S BHATT MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAYSHREE S BHATT MD PC",
"enumeration_date": "2007-06-27",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "BHATT",
"authorized_official_first_name": "JAYSHREE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "219-836-0445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01033072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1831106186",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080185321",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jayshree S Bhatt MD PC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.