Active NPI
Sathy Visakan Bhavan, MD
- Ophthalmology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A98352
- 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, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209368406 | Medicaid | MO | |
| 1457321903 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 98352 | CA | MD | Clinical Social Worker |
| A98352 | CA | MD | Ophthalmology Physician |
| ME124912 | FL | MD | Ophthalmology Physician |
| 2004016660 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Valley Eye Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Cameron Ria LLC | Ophthalmology | Current | Accepting new patients |
| Oculoplastic Eye Surgeons of Phoenix P.L.C. | Current | Accepting new patients | |
| Vpi Villages Inc | Ophthalmology | Current | 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. | Past | Accepting new patients | |
| Crossroads Behavioral Health Center, Inc. | Past | 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 | Past | 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
- sathy.bhavan.p1@direct.atlantiseyecare.nextgenshare.com
- sbhavan@pra.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1346550530
-
- Ophthalmology Physician
- Mission Hills, CA
- NPI 1326099680
-
dba Vision Protection Institute The Villages
- Retina Specialist (Ophthalmology) Physician
- The Villages, FL
- NPI 1982357182
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Peoria, AZ
- NPI 1821457532
-
- Obstetrics & Gynecology Physician
- Indio, CA
- NPI 1184792590
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Naples, FL
- NPI 1285775460
-
- Ophthalmology Physician
- Quincy, IL
- NPI 1114033958
-
- Retina Specialist (Ophthalmology) Physician
- Florissant, MO
- NPI 1750581666
-
- Ophthalmology Physician
- Swansea, IL
- NPI 1023400058
-
dba Affiliated Services Billing-HPL
- Specialist
- New Orleans, LA
- NPI 1437365863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.