Individual provider Active NPI

Sathy Visakan Bhavan, MD

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1457321903
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A98352 Issued in CA
Practice address
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Phone
(626) 793-4168
Fax
(626) 463-1277
NPI assigned
Jan 26, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME124912 FL
Ophthalmology Physician 207W00000X 2004016660 MO
Ophthalmology Physician 207W00000X A98352 CA Primary

Addresses

Primary practice location

2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747

Mailing address

502 E New Haven Ave
Melbourne, FL 32901-5427
Phone (321) 727-2020

Other identifiers 2

IdentifierTypeStateIssuer
209368406MedicaidMO
1457321903MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070418000604 CA Practitioner - Ophthalmology 3274446539 Reassigns benefits to 1 organization
I20190906000272 FL Practitioner - Ophthalmology 3274446539 Reassigns benefits to 1 organization
I20230614003458 AZ Practitioner - Ophthalmology 3274446539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Ria LLCGroup PAC ID 1557543501, 6 clinicians

Practice addresses (Care Compare)

4045 E Union Hills Dr
Suite 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98352CAMDClinical Social Worker
A98352CAMDOphthalmology Physician
ME124912FLMDOphthalmology Physician
2004016660MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Eye Medical Group, Inc. Ophthalmology CurrentSince Jan 18, 2021 Accepting new patients
Cameron Ria LLC Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. CurrentSince Jun 1, 2023 Accepting new patients
Vpi Villages Inc Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
Retina Contracting Inc Ophthalmology Past Accepting new patients
Eye MDS of Quincy SC Ophthalmology Past Accepting new patients
First Desert Obstetrics & Gynecology Medical Associates, Inc. PastSince Dec 8, 2010 Accepting new patients
Crossroads Behavioral Health Center, Inc. PastSince Nov 7, 2025 Accepting new patients
Nu-Crown, LLC Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Retina Associates of St Louis, Inc PastSince Jan 1, 2000 Accepting new patients

Locations

9185 W Thunderbird Rd
Ste C104
Peoria, AZ 85381

1102 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 665-6900

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

8144 E Cactus Rd
Ste 800
Scottsdale, AZ 85260
Phone (480) 307-9171

13920 W Camino del Sol
Ste 5
Sun City West, AZ 85375

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

11550 Indian Hills Rd
Ste 341
Mission Hills, CA 91345
Phone (818) 365-0606

708 Goodlette Rd
Naples, FL 34102
Phone (239) 291-7005

8564 E County Road 466
Ste 201
The Villages, FL 32162
Phone (352) 329-3838

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sathy.bhavan.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: sbhavan@pra.intellechartdirect.net
  • Direct secure messaging: sbhavan@vpifl.intellechartdirect.net

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1457321903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015427",
            "telephone_number": "321-727-2020",
            "fax_number": "321-984-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 E COLORADO BLVD STE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073747",
            "telephone_number": "626-793-4168",
            "fax_number": "626-463-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVAN",
        "first_name": "SATHY",
        "middle_name": "VISAKAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME124912",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2004016660",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A98352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209368406",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457321903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.