Active NPI
Samit Bhakta, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48975
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-1218
- NPI assigned
- Apr 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 48975 | AZ | |
| Internal Medicine Physician | 207R00000X | 48975 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-1218
Other practice location 1
2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000
9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48975 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1760652218
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fontana, CA
- NPI 1356496772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1568752012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-1218"
}
],
"practiceLocations": [
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647127",
"country_code": "US",
"telephone_number": "928-344-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAKTA",
"first_name": "SAMIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "48975",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "48975",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.