Individual provider Active NPI

Sumit Bhatia, MD

  • Retina Specialist (Ophthalmology) Physician
  • Normal, IL
National Provider Identifier
1780670596
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036117968 Issued in IL
Practice address
2010 Jacobssen Dr Ste C
Normal, IL 61761-6280
Phone
(815) 390-7271
NPI assigned
Sep 27, 2005
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 036117968 IL Primary
Ophthalmology Physician 207W00000X 223699 MA

Addresses

Primary practice location

2010 Jacobssen Dr Ste C
Normal, IL 61761-6280

Mailing address

2010 Jacobssen Dr Ste C
Normal, IL 61761-6280
Phone (815) 390-7271

Other practice location 1

170 E Main St
Braidwood, IL 60408-1912
Phone (815) 390-7271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070728000066 IL Practitioner - Ophthalmology 5092744649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 E Main St
Braidwood, IL 60408-1912
Phone (815) 390-7271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117968ILMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gailey Eye Clinic, LTD Current Accepting new patients
Gailey Eye Clinic, LTD CurrentSince Aug 1, 2007 Accepting new patients
Gailey Eye Clinic, LTD CurrentSince Aug 1, 2007 Accepting new patients
Signature Retina Consultants PC Retina Specialist CurrentSince Jan 1, 2023 Accepting new patients
Gibson Community Hospital Association Ophthalmology Past Accepting new patients

Locations

1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311

2501 E College Ave
Ste B
Bloomington, IL 61704
Phone (309) 661-9191

170 E Main St
Braidwood, IL 60408
Phone (815) 390-7271

322 W Marion Ave
Forsyth, IL 62535
Phone (217) 872-2404

2010 Jacobssen Dr
Ste C
Normal, IL 61761
Phone (309) 590-5585

2121 Marquette Rd
Peru, IL 61354
Phone (815) 224-1100

Interoperability endpoints

  • Direct secure messaging: drspb@src.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1780670596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "815-390-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JACOBSSEN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616280",
            "telephone_number": "815-390-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E Main St",
            "address_purpose": "LOCATION",
            "city": "Braidwood",
            "state": "IL",
            "postal_code": "604081912",
            "country_code": "US",
            "telephone_number": "815-390-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036117968",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "223699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.