Active NPI
Amit Wasudeo Bhandarkar, MD
- Orthopaedic Surgery Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L3267
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Good Samaritan Regional HLTH Center
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 23 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L3267 | AL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare Alliance | Current | Accepting new patients | |
| Satvik Shushrusha Medical PC | Orthopaedic Surgery | Current | Accepting new patients |
| Gateway Pain Center Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Current | Accepting new patients | |
| Texas Orthopedic and Spine Associates PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Physician Services Corporation of Southern Illinois Inc. | Current | 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
- bhandara@yourcarecommunity.org
- 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.
-
- Orthopaedic Surgery Physician
- Chesterfield, MO
- NPI 1750135943
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Family Medicine Physician
- Irving, TX
- NPI 1326886771
-
- Pain Medicine (Anesthesiology) Physician
- Frontenac, MO
- NPI 1568475689
Orthopaedic Surgery
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
-
- Surgery of the Hand (Surgery) Physician
- Fort Worth, TX
- NPI 1558013169
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.