Poushali Bhattacharjee, M.D.
Individual provider Active NPI Internal Medicine Physician · Park City, UT
NPI 1811200629 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1811200629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36135480 (IL)
- Practice address
- 1743 S Sidewinder Drive Unit 114
Park City, UT 84060 - Phone
- (307) 840-9834
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.55 of 100
- Quality
- 70.56
- Improvement activities
- 40
- Cost
- 72.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, CO, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511000079 | TX | Practitioner - Emergency Medicine | 9335383470 | Reassigns benefits to 1 organization |
| I20241016000941 | CO | Practitioner - Internal Medicine | 9335383470 | Reassigns benefits to 1 organization |
| I20241222000083 | UT | Practitioner - Internal Medicine | 9335383470 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36135480 | IL | MD | Internal Medicine Physician |
| 036-135480 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current |
Accepting new patients |
| Emerald Medical Practice PC | Current |
Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Internal Medicine | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
Locations
710 Lakeway Dr
Ste 200
Sunnyvale, CA 94085
Phone (408) 372-6205
4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834
1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
1003 Bishop St
Ste 1600
Honolulu, HI 96813
Phone (808) 398-5587
75-5915 Walua Rd
Kailua Kona, HI 96740
Phone (808) 796-5624
801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833
135 N Pennsylvania St
Ste 1610
Indianapolis, IN 46204
Phone (415) 742-8411
475 Hillside Ave
Ste 4
Needham Hgts, MA 02494
3410 Belle Chase Way
Ste 600
Lansing, MI 48911
Phone (517) 999-9020
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
10 W 37th St
Fl 5
New York, NY 10018
Phone (929) 296-1624
1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
1743 Sidewinder Dr
Unit 114
Park City, UT 84060
Phone (307) 840-9834
808 Greenbrier St
Charleston, WV 25311
1821 Logan Ave
Cheyenne, WY 82001
Interoperability endpoints
- pbhattacharjee@direct.ccprovider.org
- poushali.bhattacharjee.1@30093.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36135480 | IL | Yes |
| Hospitalist Physician | 208M00000X | 036-135480 | IL |
Addresses
Primary practice location
1743 S Sidewinder Drive Unit 114
Park City, UT 84060
Mailing address
5841 S Maryland Ave
Chicago, IL 60637-1447
Other practice location 1
180 Harvester Dr
Suite 110
Burr Ridge, IL 60527-7594
Phone (773) 702-1150
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbhattacharjee@direct.ccprovider.org | Direct | Cook County |
Other providers in Park City, UT
- Nichole Bernhard
- Cynthia C Berwald
- Kirstyn Besch
- Jennifer Bevilacqua
- Thomas Bezemer
- Todd Andrew Bigatel
- Amy Adair Bingham
- Rachel Bittenson
- BK Roots, LLC
- Nathan Jeremy Black
All providers in Park City, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.