Individual provider Active NPI

Anitha Bhat, MD

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1639480585
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A165143 Issued in CA
Practice address
19015 Town Center Dr Ste 101
Apple Valley, CA 92308-8943
Phone
(760) 247-0581
Fax
(760) 247-3611
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245349 MA
Internal Medicine Physician 207R00000X A165143 CA Primary

Addresses

Primary practice location

19015 Town Center Dr Ste 101
Apple Valley, CA 92308-8943

Mailing address

19015 Town Center Dr Ste 101
Apple Valley, CA 92308-8943
Phone (760) 247-0581

Other identifiers 1

IdentifierTypeStateIssuer
103054311MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200401000139 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2860624038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ram K Kamath M D IncGroup PAC ID 2961581822, 2 clinicians

Practice addresses (Care Compare)

19015 Town Ctr Dr
Suite 101
Apple Valley, CA 92308-8943
Phone (760) 247-0581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165143CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ram K Kamath M D Inc. Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Ram K. Kamath, M.D., Inc. Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

19015 Town Center Dr
Ste 101
Apple Valley, CA 92308
Phone (760) 247-0581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1639480585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 TOWN CENTER DR STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088943",
            "telephone_number": "760-247-0581",
            "fax_number": "760-247-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 TOWN CENTER DR STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088943",
            "telephone_number": "760-247-0581",
            "fax_number": "760-247-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "ANITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "245349",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A165143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103054311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.