Organization Active NPI

Bellevue Neurology and Neuroscience PLLC

  • Neurology Physician
  • Bellevue, WA
National Provider Identifier
1659721785
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
60380683 Issued in WA
Legal business name
BELLEVUE NEUROLOGY AND NEUROSCIENCE PLLC
Practice address
14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657
Phone
(425) 786-0080
Fax
(425) 679-6005
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Roopa Bhat, M.D., PH. D.NPI 1699003871
Title
Owner/Managing Director
Phone
(650) 799-4954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 60380683 WA Primary

Addresses

Primary practice location

14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657

Mailing address

14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657
Phone (425) 786-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908001624 WA Part B Supplier - Clinic/Group Practice 2769778307 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

2020 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 214-5316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1659721785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061657",
            "telephone_number": "425-786-0080",
            "fax_number": "425-679-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061657",
            "telephone_number": "425-786-0080",
            "fax_number": "425-679-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE NEUROLOGY AND NEUROSCIENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "ROOPA",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "650-799-4954",
        "authorized_official_credential": "M.D., PH. D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "60380683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.