Individual provider Active NPI

Neil Raj Batta, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Puyallup, WA
National Provider Identifier
1841653540
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD61159582 Issued in WA
Practice address
1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742
Phone
(253) 841-0705
Fax
(253) 841-4527
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X MD61159582 WA Primary

Addresses

Primary practice location

1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742

Mailing address

4700 Point Fosdick Dr Ste 205
Gig Harbor, WA 98335-1706
Phone (253) 841-0842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210624001620 WA Practitioner - Physical Medicine and Rehabilitation 9537568944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61159582WAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Neurosurgery PLLC CurrentSince Jul 15, 2021 Accepting new patients
South Sound Neurosurgery PLLC CurrentSince Jul 15, 2021 Accepting new patients
South Sound Neurosurgery PLLC Multi-Specialty Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 205
Gig Harbor, WA 98335
Phone (253) 841-0842

1519 3rd St SE
Ste 101
Puyallup, WA 98372
Phone (253) 841-8939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1841653540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 205",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-841-0842",
            "fax_number": "253-445-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-0705",
            "fax_number": "253-841-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTA",
        "first_name": "NEIL",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "MD61159582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.