Individual provider Active NPI

Rahul Bhatia, MD

  • Pediatrics Physician
  • Tempe, AZ
National Provider Identifier
1508854563
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD526810 Issued in AZ
Practice address
7517 S McClintock Dr Ste 103
Tempe, AZ 85283-5011
Phone
(602) 610-7337
Fax
(602) 536-4102
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 50525 AZ
Pediatrics Physician 208000000X MD526810 AZ Primary

Addresses

Primary practice location

7517 S McClintock Dr Ste 103
Tempe, AZ 85283-5011

Mailing address

7557 South McClintock Drive, Suite 103
Tempe, AZ 85283
Phone (602) 610-7337

Other identifiers 1

IdentifierTypeStateIssuer
07406MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tempe Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002506 AZ Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3375620115 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD526810AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jan 1, 2021 Accepting new patients
TMC Medical Network CurrentSince Dec 12, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2015 Accepting new patients
Loop 101 Emergency Physicians LLC CurrentSince Nov 1, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jan 1, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2015 Accepting new patients
Pediatrics Healthcare Associates Pediatrics CurrentSince May 1, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

7517 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (602) 610-7337

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rahul.bhatia.1@22523.direct.athenahealth.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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1508854563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 SOUTH MCCLINTOCK DRIVE, SUITE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "602-610-7337",
            "fax_number": "602-536-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 S MCCLINTOCK DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835011",
            "telephone_number": "602-610-7337",
            "fax_number": "602-536-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AZ",
            "license": "50525",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "MD526810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07406",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tempe",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7517 S McClintock Dr Ste 103",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852835011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.