Individual provider Active NPI

Roopal Kunjan Shanghvi Bhatt, MD

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1649253279
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M6049 Issued in TX
Practice address
6618 Sitio del Rio Blvd
BLDG D101
Austin, TX 78730-1143
Phone
(512) 478-3376
Fax
(512) 478-3375
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M6049 TX Primary

Addresses

Primary practice location

6618 Sitio del Rio Blvd
BLDG D101
Austin, TX 78730-1143

Mailing address

6618 Sitio del Rio Blvd
BLDG D101
Austin, TX 78730-1143
Phone (512) 478-3376

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
I20080201000340 TX Practitioner - Dermatology 1557378866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200

1801 E 51St St
Suite 320
Austin, TX 78723-3455
Phone (512) 478-3376

6618 Sitio del Rio Blvd
Suite D101
Austin, TX 78730-1148
Phone (512) 478-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1024
Removal or shaving of skin growth15
Skin biopsy79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince May 1, 2016 Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology PastSince May 13, 1997 Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Dermatology Past Accepting new patients

Locations

1801 E 51st St
Ste 320
Austin, TX 78723
Phone (512) 478-3376

6618 Sitio del Rio Blvd
#D1
Austin, TX 78730
Phone (512) 478-3376

6618 Sitio del Rio Blvd
Ste D101
Austin, TX 78730
Phone (512) 478-3376

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • Direct secure messaging: roopal.bhatt@49420620398596.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1649253279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD",
            "address_2": "BLDG D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301143",
            "telephone_number": "512-478-3376",
            "fax_number": "512-478-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD",
            "address_2": "BLDG D101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301143",
            "telephone_number": "512-478-3376",
            "fax_number": "512-478-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "ROOPAL",
        "middle_name": "KUNJAN SHANGHVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.