Sachin Marithammanahalli Bhagavan, MBBS, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2022014802 Issued in MO

Practice address

788 Service Rd Ste B401
East Lansing, MI 48824-7013

Phone

(517) 432-9277

NPI assigned

Jul 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Neurology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020
• Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sachinbhagavan@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Center Inc.

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1649727447
  NPD
• Amory Surgery Clinic, PLLC

  • Surgery Physician
  • Amory, MS
  • NPI 1821441080
  NPD (past)

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

• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• Monroe Health Services, Inc.

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Tishomingo Health Services, Inc.

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  Care Compare affiliation
• Webster Health Services, Inc.

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Care Compare affiliation

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1518452648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SERVICE RD STE B401",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247013",
            "telephone_number": "517-432-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SERVICE RD STE B401",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247013",
            "telephone_number": "517-432-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAVAN",
        "first_name": "SACHIN",
        "middle_name": "MARITHAMMANAHALLI",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-01",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018022151",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2022014802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Bernthal, PHD
• Julia Ann Berry
• Beth Sipple Janick LLC
• Katrina Betros-Howell
• Lana Maria Bey-Wright, A. G.S
• Jane Elizabeth Bickerstaff, MA
• Bridget Bienz, M.A.
• Samantha Bierlein, PTA
• Helen Lynette Biery, PA-C
• Katherine M Bigelow, ATC

• Neurology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.

Verify at the official NPI Registry.