Susheel Bathla, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N005417 Issued in NY

Practice address

364 Edison St
Staten Island, NY 10306-3041

Phone

(718) 524-4112

Fax

(718) 524-4189

NPI assigned

May 30, 2005

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Staten Island Podiatry PCGroup PAC ID 3678667326, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Staten Island Podiatry, P.C.

  • Podiatrist
  • Staten Island, NY
  • NPI 1942340948
  Medicare reassignment Care Compare group Authorized official
• Foot and Soul

  • Podiatrist
  • Trenton, NJ
  • NPI 1720689102
  NPD Authorized official
• Berg and Miele DPM, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
  • NPI 1336355312
  NPD (past)
• New York Heart and Vascular Specialists PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1649585399
  NPD (past)
• Suryanarayan Anand MD PC

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1205008810
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1871596387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 DEER RUN",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696222",
            "telephone_number": "718-524-4112",
            "fax_number": "718-524-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063041",
            "telephone_number": "718-524-4112",
            "fax_number": "718-524-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHLA",
        "first_name": "SUSHEEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01918189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Bastiani, M.S.P.T.
• Tayo Sia Batama, LPN
• Jennifer Lauria Bates, MS,ED
• Paige Bates, MD
• Bath Beach Medical PC
• Brynn Alexi Batiancela
• Sanjiv Batra, M.D.
• Margaret Judith Batson
• Daniella Battaglia
• Melissa Battaglia

• Primary Podiatric Medicine Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.

Verify at the official NPI Registry.