Individual provider Active NPI

Bharat K Pithadia, MD

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1982664926
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01033172A Issued in IN
Practice address
2801 Leonard Dr
Valparaiso, IN 46383-7136
Phone
(219) 476-1704
Fax
(219) 476-1704
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01033172A IN
Family Medicine Physician 207Q00000X 01033172A IN Primary

Addresses

Primary practice location

2801 Leonard Dr
Valparaiso, IN 46383-7136

Mailing address

2801 Leonard Dr
Valparaiso, IN 46383-7136
Phone (219) 476-1703

Other identifiers 1

IdentifierTypeStateIssuer
100225200BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050111000847 IN Practitioner - Family Practice 5395793285 Receives reassigned benefits from 3 practitioners
Practice locations: Valparaiso, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Leonard Dr
Valparaiso, IN 46383-7136
Phone (219) 476-1703

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01033172AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pithadia Medical Professional Services Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1982664926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEONARD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-476-1703",
            "fax_number": "219-476-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEONARD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-476-1704",
            "fax_number": "219-476-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITHADIA",
        "first_name": "BHARAT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01033172A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01033172A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225200B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.