Individual provider Active NPI

Mukesh D Bhatt, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Pierce, FL
National Provider Identifier
1427147222
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME48765 Issued in FL
Practice address
2500 Rhode Island Avenue
#A
Fort Pierce, FL 34950
Phone
(772) 489-4001
Fax
(772) 489-8411
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME48765 FL Primary

Addresses

Primary practice location

2500 Rhode Island Avenue
#A
Fort Pierce, FL 34950

Mailing address

PO Box 30277
Palm Beach Gardens, FL 33420-0277
Phone (772) 489-4001

Other identifiers 1

IdentifierTypeStateIssuer
ME48765OtherFLSTATE OF FL DEPT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000432 FL Practitioner - Physical Medicine and Rehabilitation 5799855987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportspain and Spinal Rehab IncGroup PAC ID 9830213958, 2 clinicians

Practice addresses (Care Compare)

2215 Nebraska Ave
Suite 2 B
Fort Pierce, FL 34950-4866
Phone (772) 489-4001

2500 Rhode Island Ave
A
Fort Pierce, FL 34947-4771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48765FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monwara Hassan MD PA PastSince Jun 2, 2010 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427147222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30277",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334200277",
            "telephone_number": "772-489-4001",
            "fax_number": "772-489-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RHODE ISLAND AVENUE",
            "address_2": "#A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-489-4001",
            "fax_number": "772-489-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "MUKESH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME48765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL DEPT",
            "identifier": "ME48765",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.