Individual provider Active NPI

Shubha Lakshmi Bhat, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1831537729
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101265437 Issued in VA
Practice address
6530 Hull Street Rd
Richmond, VA 23224
Phone
(804) 674-3425
Fax
(804) 554-5388
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD459670 PA
Internal Medicine Physician 207R00000X 0101265437 VA Primary

Addresses

Primary practice location

6530 Hull Street Rd
Richmond, VA 23224

Mailing address

1395 NW 167TH St Apt 1101
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

2116 Chestnut Street
Philadelphia, PA 19103-0000
Phone (610) 547-8027

Other practice location 2

6530 Hull Street Rd
Richmond, VA 23224
Phone (804) 674-3425

Other practice location 3

2116 Chestnut Street
Philadelphia, PA 19103-0000
Phone (610) 547-8027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181205000620 VA Practitioner - Internal Medicine 6002038940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD459670PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical New Market, LLC Internal Medicine CurrentSince Nov 5, 2018 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Ahpaffs,LLC PastSince Jun 4, 2021 Accepting new patients

Locations

1395 NW 167th St
Apt 1101
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

6530 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1831537729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST APT 1101",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 HULL STREET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23224",
            "telephone_number": "804-674-3425",
            "fax_number": "804-554-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191030000",
            "country_code": "US",
            "telephone_number": "610-547-8027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6530 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23224",
            "country_code": "US",
            "telephone_number": "804-674-3425",
            "fax_number": "804-554-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191030000",
            "country_code": "US",
            "telephone_number": "610-547-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAT",
        "first_name": "SHUBHA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD459670",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101265437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.