NPIMap

Organization Active NPI

Roopal Bhatt MD, PA

Doing business as Four Points Dermatology

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1457524118
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M6049 Issued in TX
Legal business name
ROOPAL BHATT MD, PA
Doing business as
Four Points Dermatology
Practice address
6618 Sitio del Rio Blvd
BLDG D101
Austin, TX 78730-1143
Phone
(512) 478-3376
Fax
(512) 478-3375
NPI assigned
Apr 2, 2008
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Roopal K.S. Bhatt, M.D.NPI 1649253279
Title
Owner
Phone
(512) 478-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M6049 TX Primary

Addresses

Primary practice location

6618 Sitio del Rio Blvd
BLDG D101
Austin, TX 78730-1143

Mailing address

6618 Sitio del Rio Blvd Ste D101
Austin, TX 78730-1148
Phone (512) 478-3376

Other identifiers 1

IdentifierTypeStateIssuer
200288301MedicaidTX

Other names 1

  • Four Points Dermatology Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1095185Roopal K Bhatt MD PA6618 Sitio del Rio Blvd Ste D101, Austin, TX 78730Provider-performed microscopyFeb 3, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6618 Sitio del Rio Blvd
Ste D101
Austin, TX 78730
Phone (512) 478-3376

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1457524118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-478-3376",
            "fax_number": "512-478-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD",
            "address_2": "BLDG D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301143",
            "telephone_number": "512-478-3376",
            "fax_number": "512-478-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOPAL BHATT MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "ROOPAL",
        "authorized_official_middle_name": "K.S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-478-3376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200288301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Points Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.