Gitashree Bhatia, MD
Individual provider Active NPI Internal Medicine Physician · Dundee, FL
NPI 1962493981 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1962493981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME44220 (FL)
- Practice address
- 916 Hwy 542
Dundee, FL 33838-4198 - Phone
- (863) 419-3330
- Fax
- (863) 419-3258
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100320000221 | FL | Practitioner - Internal Medicine | 8527093632 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44220 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current |
Accepting new patients | |
| Dr. Zelda West Johnson & Associates | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past |
Accepting new patients | |
| Winter Haven Hospital Inc | Past |
Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME44220 | FL | Yes |
Addresses
Primary practice location
916 Hwy 542
Dundee, FL 33838-4198
Mailing address
950 County Road 17a W
Avon Park, FL 33825-2164
Phone (863) 452-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069162300 | Medicaid | FL | |
| 53726 | Other | FL | BCBS OF FLORIDA |
Other providers in Dundee, FL
- Holly Ann Algarin
- Ramon S Alivio
- Ingrid Nahil Atiles
- Attentive Care Transport LLC
- Leigh A Barberet
- Sammie S Bodison
- Amada S Bouffard
- Scott Bourgeois
- Brausa Dental Smiles Dundee LLC
- Tanarris Jamon Cannon Jr.
All providers in Dundee, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.