Individual provider Active NPI

Pritika Bhatia, MD

  • Anesthesiology Physician
  • Tucker, GA
National Provider Identifier
1962458349
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60240 Issued in GA
Practice address
2706 Henderson Chase CT
Tucker, GA 30084-2450
Phone
(404) 234-4275
NPI assigned
May 26, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60240 GA Primary
Anesthesiology Physician 207L00000X 46103 WI

Addresses

Primary practice location

2706 Henderson Chase CT
Tucker, GA 30084-2450

Mailing address

2706 Henderson Chase Court
Tucker, GA 30084
Phone (404) 234-4275

Other identifiers 2

IdentifierTypeStateIssuer
314928893AYMedicaidGA
34492700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080516000074 GA Practitioner - Anesthesiology 2769462092 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Georgia LLCGroup PAC ID 6608123724, 62 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200

1900 The Exchange SE
Suite 610
Atlanta, GA 30339-2050
Phone (770) 702-1806

2131 Fountain Dr
Snellville, GA 30078-7024
Phone (770) 702-1806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60240GAMDAnesthesiology Physician
46103WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Anesthesiology, PC Anesthesiology CurrentSince Apr 1, 2008 Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 2, 2017 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Midwest Anesthesia Consultants SC Anesthesiology Past Accepting new patients

Locations

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

1900 The Exchange SE
Ste 610
Atlanta, GA 30339
Phone (470) 977-5277

365 E Paces Ferry Rd NE
Atlanta, GA 30305
Phone (404) 814-0868

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

6649 Lake Dr
Morrow, GA 30260

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

Organizations & group practices 6

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1962458349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 HENDERSON CHASE COURT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "404-234-4275",
            "fax_number": "404-234-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 HENDERSON CHASE CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842450",
            "telephone_number": "404-234-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "PRITIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "60240",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "46103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314928893AY",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34492700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.