Individual provider Active NPI

Shubha P Bhat, M.D.

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1518170380
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6178 Issued in TX
Practice address
1410 E Renner Rd Ste 201
Richardson, TX 75082-2227
Phone
(972) 234-3311
Fax
(972) 669-8072
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10027533 TX
Family Medicine Physician 207Q00000X N6178 TX Primary

Addresses

Primary practice location

1410 E Renner Rd Ste 201
Richardson, TX 75082-2227

Mailing address

1410 E Renner Rd Ste 201
Richardson, TX 75082-2227
Phone (972) 234-3311

Other practice location 1

2520 N Central Expy
Suite 100
Richardson, TX 75080-2052
Phone (972) 234-3311

Other identifiers 2

IdentifierTypeStateIssuer
217084701MedicaidTX
8CJ857OtherTXBCBSTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbhat226285@direct.sw.org
Direct Messaging Address sbhat226285@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101111000687 TX Practitioner - Family Practice 5890980221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6178TXMDFamily Medicine Physician
BP10027533TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 22, 2010 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 22, 2010 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1410 E Renner Rd
Ste 201
Richardson, TX 75082
Phone (972) 234-3311

2520 N Central Expy
Ste 100
Richardson, TX 75080
Phone (972) 234-3311

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1518170380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E RENNER RD STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822227",
            "telephone_number": "972-234-3311",
            "fax_number": "972-669-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E RENNER RD STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822227",
            "telephone_number": "972-234-3311",
            "fax_number": "972-669-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 N Central Expy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802052",
            "country_code": "US",
            "telephone_number": "972-234-3311",
            "fax_number": "972-669-8072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAT",
        "first_name": "SHUBHA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10027533",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217084701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CJ857",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbhat226285@direct.sw.org",
            "affiliation": "N",
            "address_1": "2520 N Central Expy",
            "address_2": "Suite 100",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750802052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbhat226285@direct.sw.org",
            "affiliation": "N",
            "address_1": "1410 E Renner Rd Ste 201",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750822227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.