Individual provider Active NPI

Vibha Bhasin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1912495086
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
N0646 Issued in TX
Practice address
3300 Nacogdoches Rd Ste 110
San Antonio, TX 78217-3368
Phone
(210) 646-0890
Fax
(210) 646-9191
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X N0646 TX
Anatomic Pathology Physician 207ZP0101X N0646 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N0646 TX Primary

Addresses

Primary practice location

3300 Nacogdoches Rd Ste 110
San Antonio, TX 78217-3368

Mailing address

3300 Nacogdoches Rd Ste 110
San Antonio, TX 78217-3368
Phone (210) 646-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220316000712 TX Practitioner - Pathology 1254726953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3300 Nacogdoches Rd
Suite 110
San Antonio, TX 78217-3368
Phone (210) 614-0959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
69.99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0646TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Oaks Pathology Services, P. a. CurrentSince Mar 1, 2022 Accepting new patients
Village Oaks Pathology Services, P.a. Cytopathology CurrentSince Mar 1, 2022 Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

3300 Nacogdoches Rd
Ste 110
San Antonio, TX 78217
Phone (210) 646-0890

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1912495086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NACOGDOCHES RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173368",
            "telephone_number": "210-646-0890",
            "fax_number": "210-646-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NACOGDOCHES RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173368",
            "telephone_number": "210-646-0890",
            "fax_number": "210-646-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "VIBHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "N0646",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "N0646",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N0646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.