Individual provider Active NPI

Bipin D Sarodia, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Johnson City, TN
National Provider Identifier
1467444752
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
57703 Issued in TN
Practice address
809 Lamont St Dept 111B
Johnson City, TN 37604-5453
Phone
(937) 321-5800
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2016-00009 NC
Pulmonary Disease Physician 207RP1001X 2016-00009 NC
Pulmonary Disease Physician 207RP1001X 57703 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 57703 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2016-00009 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 57703 TN Primary

Addresses

Primary practice location

809 Lamont St Dept 111B
Johnson City, TN 37604-5453

Mailing address

809 Lamont St Dept 111B
Johnson City, TN 37604-5453
Phone (937) 321-5800

Other identifiers 3

IdentifierTypeStateIssuer
2024106MedicaidOH
0000000340772OtherOHANTHEM BCBS
4801045OtherOHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TN3 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
I20160520000239 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9234115338 Reassigns benefits to 1 organization
I20170322000020 SC Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician)Practitioner - Pulmonary Disease 9234115338 Reassigns benefits to 2 organizations
I20180810001112 TN Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9234115338 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-00009NCMDSleep Medicine (Internal Medicine) Physician
57703TNMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Critical Care Medicine CurrentSince Jan 1, 2017 Accepting new patients
Cookeville Hospitalist Group, PLLC CurrentSince Sep 25, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 13, 2025 Accepting new patients
Carolinas Physicians Network Inc Pulmonary Disease CurrentSince Jan 13, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 1, 2017 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1010 E Dixon Blvd
Shelby, NC 28152
Phone (980) 487-2700

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: bsarodia2957188@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1467444752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 LAMONT ST DEPT 111B",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045453",
            "telephone_number": "937-321-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LAMONT ST DEPT 111B",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045453",
            "telephone_number": "937-321-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARODIA",
        "first_name": "BIPIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2016-00009",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2016-00009",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "57703",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "57703",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "2016-00009",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "57703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024106",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0000000340772",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4801045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.