Individual provider Active NPI

Sumeet Jagdish Bhushan, MD

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1558337451
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30917 Issued in TN
Practice address
2200 E 3Rd St Ste 200
Chattanooga, TN 37404-2745
Phone
(423) 643-2500
Fax
(423) 305-7822
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 30917 TN Primary

Addresses

Primary practice location

2200 E 3Rd St Ste 200
Chattanooga, TN 37404-2745

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other practice location 1

1651 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-3289
Phone (423) 308-0390

Other practice location 2

4980 Alpha Ln
Hixson, TN 37343-5470
Phone (423) 643-2500

Other practice location 3

7425 Ziegler Rd Ste 143
Chattanooga, TN 37421-4658
Phone (423) 643-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041207000466 TN Practitioner - Gastroenterology 6204892722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

1651 Gunbarrel Rd
Chattanooga, TN 37421-3291

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280

4980 Alpha LN
Hixson, TN 37343-5470
Phone (423) 870-2450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy632
Upper gastrointestinal (GI) endoscopy for acid reflux589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30917TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Gastroenterology CurrentSince Jun 1, 2003 Accepting new patients
East TN Anesthesia, PLLC CurrentSince May 1, 2017 Accepting new patients
Ut Physicians Inc Past Accepting new patients
Galen Medical Group PC PastSince Jul 24, 2022 Accepting new patients

Locations

979 E 3rd St
Ste 1001
Chattanooga, TN 37403
Phone (615) 267-2392

7425 Ziegler Rd
Ste 143
Chattanooga, TN 37421
Phone (423) 468-4826

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

4980 Alpha Ln
Hixson, TN 37343
Phone (423) 702-9218

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Interoperability endpoints

  • Direct secure messaging: sbhushan191691@direct.stlukeshealth.org

Organizations & group practices 4

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 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1558337451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 3RD ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042745",
            "telephone_number": "423-643-2500",
            "fax_number": "423-305-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Gunbarrel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213289",
            "country_code": "US",
            "telephone_number": "423-308-0390",
            "fax_number": "423-308-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 Alpha Ln",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435470",
            "country_code": "US",
            "telephone_number": "423-643-2500",
            "fax_number": "423-305-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7425 Ziegler Rd Ste 143",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214658",
            "country_code": "US",
            "telephone_number": "423-643-2500",
            "fax_number": "423-305-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHUSHAN",
        "first_name": "SUMEET",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "30917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.