Active NPI
Ishan Bhattacharya, MD
- Gastroenterology Physician
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036068763
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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, UT
- 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
- Gastroenterology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-48413 | IA | MD | Gastroenterology Physician |
| 036068763 | IL | MD | Gastroenterology Physician |
| 14199050-1235 | UT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South Bend Clinic LLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Gastrointestinal Clinic of Quad Cities, P.C. | Gastroenterology | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | 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
- 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.
-
dba Behavioral Health West Valley
- Prescribing (Medical) Psychologist
- West Valley City, UT
- NPI 1942903562
-
dba Quad City Gastroenterology
- Gastroenterology Physician
- Davenport, IA
- NPI 1942380605
IL
-
dba PLSL Pulm CC SM SLC
- Pulmonary Disease Physician
- Salt Lake City, UT
- NPI 1972206878
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
dba NSSH Neurosurg Sah
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
-
- Endoscopy Clinic/Center
- Towson, MD
- NPI 1811934573
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.