Individual provider Active NPI

Priyanka Tapas Bhattacharya, MD

  • Cardiovascular Disease Physician
  • Charleston, SC
National Provider Identifier
1891092417
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
56377 Issued in KY
Practice address
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Phone
(843) 876-4794
Fax
(843) 876-2126
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 305002 NY
Hospitalist Physician 208M00000X 305002 NY
Hospitalist Physician 208M00000X MD433970 PA
Cardiovascular Disease Physician 207RC0000X 56377 KY Primary

Addresses

Primary practice location

169 Ashley Ave RM 202
Charleston, SC 29425-8905

Mailing address

169 Ashley Ave RM 202
Charleston, SC 29425-8905
Phone (843) 876-4794

Other practice location 1

177 Fort Washington Ave
New York, NY 10032-3733
Phone (212) 305-5138

Other practice location 2

501 S 54th St Ste 380
Philadelphia, PA 19143-1900
Phone (215) 748-9707

Other practice location 3

151 S Bishop Ave
I-15
Secane, PA 19018-1971
Phone (302) 784-5462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20251008000204 SC Order and Referring Only - Cardiac ElectrophysiologyPractitioner - Cardiac Electrophysiology 9537388855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56377KYMDCardiovascular Disease Physician
MD433970PAMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1891092417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-4794",
            "fax_number": "843-876-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-4794",
            "fax_number": "843-876-2126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323733",
            "country_code": "US",
            "telephone_number": "212-305-5138",
            "fax_number": "212-305-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 380",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9707",
            "fax_number": "215-748-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 S Bishop Ave",
            "address_2": "I-15",
            "address_purpose": "LOCATION",
            "city": "Secane",
            "state": "PA",
            "postal_code": "190181971",
            "country_code": "US",
            "telephone_number": "302-784-5462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "PRIYANKA",
        "middle_name": "TAPAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305002",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "305002",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD433970",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "56377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.