Individual provider Active NPI

Amisha S Bhakta, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1790970747
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04713 Issued in TX
Practice address
7460 Warren Pkwy
Suite 160
Frisco, TX 75034-4169
Phone
(972) 668-5400
Fax
(972) 668-5401
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61074 CA
Physician Assistant 363A00000X 25MP00663600 NJ
Physician Assistant 363A00000X PA04713 TX Primary

Addresses

Primary practice location

7460 Warren Pkwy
Suite 160
Frisco, TX 75034-4169

Mailing address

7460 Warren Pkwy
Suite 160
Frisco, TX 75034-4169
Phone (972) 668-5400

Other practice location 1

2740 Fulton Ave Ste 220
Sacramento, CA 95821-5186
Phone (908) 663-2929

Other identifiers 2

IdentifierTypeStateIssuer
2035487-01MedicaidTX
2933475-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ, CA, NY, PA, OH6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20071116000258 TX Practitioner - Physician Assistant 1557459039 Reassigns benefits to 1 organization
I20230614000887 NJ Practitioner - Physician Assistant 1557459039 Reassigns benefits to 1 organization
I20230901002519 CA Practitioner - Physician Assistant 1557459039 Reassigns benefits to 1 organization
I20230906001858 NY Practitioner - Physician Assistant 1557459039 Reassigns benefits to 1 organization
I20231010003611 PA Practitioner - Physician Assistant 1557459039
I20231109000479 OH Practitioner - Physician Assistant 1557459039

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians

Practice addresses (Care Compare)

515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00663600NJMDPhysician Assistant
PA04713TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stationmd California PC CurrentSince Oct 1, 2025 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637

515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800

Interoperability endpoints

  • Direct secure messaging: amisha.bhakta@398008301912068.direct.elationemr.com
  • Direct secure messaging: amisha.bhakta.1@14883.direct.athenahealth.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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1790970747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 WARREN PKWY",
            "address_2": "SUITE 160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344169",
            "telephone_number": "972-668-5400",
            "fax_number": "972-668-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 WARREN PKWY",
            "address_2": "SUITE 160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344169",
            "telephone_number": "972-668-5400",
            "fax_number": "972-668-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Fulton Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215186",
            "country_code": "US",
            "telephone_number": "908-663-2929",
            "fax_number": "908-934-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "AMISHA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61074",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00663600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035487-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2933475-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.