NPIMap

Individual provider Active NPI

Bharath Reddy Naravetla, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1477741890
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
069900 Issued in GA
Practice address
285 Boulevard NE
Suite 545
Atlanta, GA 30312-4205
Phone
(404) 265-5551
NPI assigned
Oct 10, 2007
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 069900 GA Primary

Addresses

Primary practice location

285 Boulevard NE
Suite 545
Atlanta, GA 30312-4205

Mailing address

285 Boulevard NE
Suite 545
Atlanta, GA 30312-4205
Phone (404) 265-5551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000406 MI Practitioner - NeurologyPractitioner - Internal Medicine 1658421789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

1030 Harrington St
Suite 304
Mount Clemens, MI 48043-2967
Phone (586) 493-3260

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint CurrentSince Nov 15, 2015 Accepting new patients
McLaren Flint CurrentSince Nov 15, 2015 Accepting new patients
McLaren Port Huron Current Accepting new patients
McLaren Port Huron CurrentSince Jan 3, 2017 Accepting new patients
McLaren Flint Current Accepting new patients
University of California SFGH Medical Group Past Accepting new patients
McLaren Macomb Past Accepting new patients
Cathedral Rock Emergency Physicians LLC Past Accepting new patients
Atlanta Medical Center Interventional Neurology Associates, LLC Neurology PastSince Aug 1, 2012 Accepting new patients
University of California SFGH Medical Group Neurology PastSince Dec 21, 2021 Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1477741890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 545",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-265-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 545",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-265-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAVETLA",
        "first_name": "BHARATH",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "069900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.