Individual provider Active NPI

Siddharth Bhatt, MD

  • Nephrology Physician
  • Norfolk, MA
National Provider Identifier
1881881258
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
274993 Issued in MA
Practice address
31 Pine St Ste 204
Norfolk, MA 02056-1680
Phone
(508) 623-3852
NPI assigned
Oct 1, 2007
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME109277 FL
Nephrology Physician 207RN0300X 274993 MA Primary

Addresses

Primary practice location

31 Pine St Ste 204
Norfolk, MA 02056-1680

Mailing address

31 Pine St Ste 204
Norfolk, MA 02056-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180702001621 MA Practitioner - Nephrology 0143490375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NE Nephrology Home Care AssociatesGroup PAC ID 5799864393, 10 clinicians

Practice addresses (Care Compare)

31 Pine St
Suite 204
Norfolk, MA 02056-1680
Phone (617) 739-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Nephrology Associates Nephrology CurrentSince Jun 1, 2018 Accepting new patients
NE Nephrology Home Care Associates Nephrology CurrentSince Jun 1, 2018 Accepting new patients
Florida Kidney Physicians, LLC Nephrology Past Accepting new patients

Locations

2110 Dorchester Ave
Ste 2204
Dorchester, MA 02124
Phone (508) 650-7890

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

110 Mount Wayte Ave
Framingham, MA 01702
Phone (508) 628-3801

463 Worcester Rd
Ste 104
Framingham, MA 01701
Phone (508) 270-6334

67 Union St
Natick, MA 01760
Phone (508) 383-1104

31 Pine St
Norfolk, MA 02056
Phone (508) 623-3700

31 Pine St
Ste 20
Norfolk, MA 02056

31 Pine St
Ste 204
Norfolk, MA 02056
Phone (617) 739-7100

981 Worcester St
Ste 1B
Wellesley, MA 02482
Phone (781) 488-7730

Interoperability endpoints

  • Direct secure messaging: sbhatt12229@direct.acumenmd.com
  • Direct secure messaging: sbhatt447941@direct.bilh.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1881881258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "508-623-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "SIDDHARTH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME109277",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "274993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, MA

Sources for this page

Verify at the official NPI Registry.