Active NPI
Ritika Bhandari, M.D.
- Procedural Dermatology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 26766
- Practice address
- 2500 N State St
Department of Dermatology
Jackson, MS 39216 - Phone
- (601) 815-8000
- NPI assigned
- Apr 13, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Procedural Dermatology Physician | 207NS0135X | 26766 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Dermatology
Jackson, MS 39216
Mailing address
2500 N State St
Department of Dermatology
Jackson, MS 39216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20200916002080 | FL | Practitioner - Dermatology | 7810206653 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brandon Dermatology P a
Practice addresses (Care Compare)
502 N Mobley St
1 Plant City Dermatology
Plant City, FL 33563-2904
Phone (813) 498-1933
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 23 |
| Removal of skin lesions | 18 |
| Removal of skin cancer | 546 |
| Skin biopsy | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Dermatology P a | Current | Accepting new patients |
Locations
6410 N US Highway 41
Apollo Beach, FL 33572
406 W Bloomingdale Ave
Brandon, FL 33511
Phone (813) 653-1880
405 W Bloomingdale Ave
Brandon, FL 33511
Phone (813) 662-3376
502 N Mobley St
Ste 1
Plant City, FL 33563
Phone (813) 349-7654
502 N Mobley St
Plant City, FL 33563
Phone (813) 341-7450
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICAAA
Organizations & group practices 1
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": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1831585256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF DERMATOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF DERMATOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-815-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANDARI",
"first_name": "RITIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MS",
"license": "26766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.