Individual provider Active NPI

Ishan Bhattacharya, MD

  • Gastroenterology Physician
  • West Jordan, UT
National Provider Identifier
1487727731
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036068763 Issued in IL
Practice address
3590 W 9000 S Ste 120
West Jordan, UT 84088-8858
Phone
(801) 208-1075
Fax
(385) 351-6735
NPI assigned
Nov 16, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036068763 IL Primary
Gastroenterology Physician 207RG0100X 14199050-1235 UT
Gastroenterology Physician 207RG0100X MD-48413 IA

Addresses

Primary practice location

3590 W 9000 S Ste 120
West Jordan, UT 84088-8858

Mailing address

1911 Cobblestone LN Apt 119
Milan, IL 61264-2614
Phone (443) 465-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, UT3 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
I20130205000497 IL Practitioner - Gastroenterology 9638129794 Reassigns benefits to 1 organization
I20201104000577 IA Practitioner - Gastroenterology 9638129794 Reassigns benefits to 1 organization
I20250210002640 UT Practitioner - Gastroenterology 9638129794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3590 W 9000
Suite 120
West Jordan, UT 84088-8858
Phone (801) 208-1075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48413IAMDGastroenterology Physician
036068763ILMDGastroenterology Physician
14199050-1235UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The South Bend Clinic LLC Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 10, 2025 Accepting new patients
Gastrointestinal Clinic of Quad Cities, P.C. Gastroenterology CurrentSince Sep 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 10, 2025 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Endoscopic Microsurgery Associates Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

5041 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 359-5490

4340 7th St
Moline, IL 61265
Phone (309) 277-5624

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

3590 W 9000 S
Ste 120
West Jordan, UT 84088
Phone (801) 208-1075

Interoperability endpoints

  • Direct secure messaging: ishan.bhattacharya@qcg.directbygreenway.com

Organizations & group practices 7

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 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1487727731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 COBBLESTONE LN APT 119",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642614",
            "telephone_number": "443-465-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 W 9000 S STE 120",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888858",
            "telephone_number": "801-208-1075",
            "fax_number": "385-351-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "ISHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036068763",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "14199050-1235",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-48413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.