Syamal Dave Bhattacharya, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

54609 Issued in TN

Practice address

979 E 3Rd St
Ste. 300
Chattanooga, TN 37403-2136

Phone

(423) 267-0466

NPI assigned

May 21, 2008

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TN

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

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

92.6

Promoting interoperability

93.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: syamal.bhattacharya.1@33371.direct.athenahealth.com

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.

• University Surgical Associates, PLLC

  • Surgery Physician
  • Chattanooga, TN
  • NPI 1972520963
  Medicare reassignment NPD
• Chattanooga Hamilton County Hospital Authority

  dba Erlanger Medical Center

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1639264575
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1891952313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE. 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE. 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-267-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "SYAMAL",
        "middle_name": "DAVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TN",
            "license": "54609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0022066",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle M Beville, M.D.
• Debra A Beyers, PHARM D
• Beyoutiful Skin and Laser Center
• Manoo Bhakta, MD
• Anil Kumar Bhatia, M.D.
• Prameet Jagdish Bhushan, M.D.
• Sumeet Jagdish Bhushan, MD
• Punit Bhutwala, MD
• Bi Lo Pharmacy
• Melissa Bible

• Pediatric Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatric Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.