Active NPI
Shubha Lakshmi Bhat, M.D.
- Internal Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101265437
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181205000620 | VA | Practitioner - Internal Medicine | 6002038940 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD459670 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jencare Neighborhood Medical New Market, LLC | Internal Medicine | Current | Accepting new patients |
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Ahpaffs,LLC | Past | 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.
-
- Internal Medicine Physician
- Newport News, VA
- NPI 1568756948
-
- Specialist
- Miami Gardens, FL
- NPI 1083167001
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1275985814
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.