Individual provider Active NPI

Amit Wasudeo Bhandarkar, MD

  • Orthopaedic Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1962711937
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L3267 Issued in AL
Practice address
16216 Baxter Rd BLDG Suite110
Chesterfield, MO 63017-4770
Phone
(618) 417-7463
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L3267 AL Primary

Addresses

Primary practice location

16216 Baxter Rd BLDG Suite110
Chesterfield, MO 63017-4770

Mailing address

PO Box 55309
Birmingham, AL 35255-5309
Phone (205) 731-9701

Other practice location 1

1201 Ricker Rd
Salem, IL 62881-4263
Phone (618) 548-3194

Other practice location 2

402 N Pleasant Ave
Centralia, IL 62801-3006
Phone (618) 436-6185

Other practice location 3

619 19th St S
Birmingham, AL 35249-0001
Phone (205) 934-4011

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address abhandarkar354226@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160412001675 IL Practitioner - Orthopedic Surgery 3678753720 Reassigns benefits to 2 organizations
I20220304001313 MO Practitioner - Orthopedic SurgeryPractitioner - Podiatry 3678753720 Reassigns benefits to 2 organizations
I20240823001878 TX Practitioner - Orthopedic Surgery 3678753720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians
Unity Healthcare AllianceGroup PAC ID 6305376450, 2 clinicians

Practice addresses (Care Compare)

16216 Baxter Rd
Chesterfield, MO 63017-4778
Phone (413) 461-5025

402 N Pleasant Ave
Centralia, IL 62801-3006
Phone (618) 436-6180

4301 N Macarthur Blvd
Irving, TX 75038-6497
Phone (626) 235-8664

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion23
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3267ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare Alliance CurrentSince May 18, 2025 Accepting new patients
Satvik Shushrusha Medical PC Orthopaedic Surgery CurrentSince Nov 23, 2023 Accepting new patients
Gateway Pain Center Inc Orthopaedic Surgery CurrentSince Jan 5, 2024 Accepting new patients
Anesthesia Associates of Southern Illinois Surgery Center LLC CurrentSince Apr 1, 2022 Accepting new patients
Texas Orthopedic and Spine Associates PLLC Orthopaedic Surgery CurrentSince Jun 4, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Feb 15, 2021 Accepting new patients

Locations

402 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-6180

2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

16216 Baxter Rd
Ste 110
Chesterfield, MO 63017
Phone (314) 246-0212

10435 Clayton Rd
Ste 120
Saint Louis, MO 63131
Phone (314) 442-4452

3450 W Wheatland Rd
Ste 330
Dallas, TX 75237
Phone (413) 461-5025

7901 John W Carpenter Fwy
Dallas, TX 75247
Phone (214) 980-9400

923 College Ave
Ste 101
Fort Worth, TX 76104
Phone (817) 697-4038

4301 N MacArthur Blvd
Irving, TX 75038
Phone (626) 235-8664

Interoperability endpoints

  • Direct secure messaging: bhandara@yourcarecommunity.org
  • Direct secure messaging: abhandarkar354226@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1962711937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD BLDG SUITE110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "618-417-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Ricker Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628814263",
            "country_code": "US",
            "telephone_number": "618-548-3194",
            "fax_number": "618-740-0122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 N Pleasant Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "IL",
            "postal_code": "628013006",
            "country_code": "US",
            "telephone_number": "618-436-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352490001",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANDARKAR",
        "first_name": "AMIT",
        "middle_name": "WASUDEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "L3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR-API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "402 N Pleasant Ave",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628013006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abhandarkar354226@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abhandarkar354226@direct-ehr-ssmhc.com",
            "address_1": "402 N Pleasant Ave",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628013006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.