Individual provider Active NPI

Ritika Bhandari, M.D.

  • Procedural Dermatology Physician
  • Jackson, MS
National Provider Identifier
1831585256
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
26766 Issued in MS
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

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 9 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions18
Removal of skin cancer546
Skin biopsy29

National Provider Directory

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

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Brandon Dermatology P a CurrentSince Oct 1, 2020 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

  • FHIR API: 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

Verify at the official NPI Registry.