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JYOTI S DATTA MD INC
NPI 1033644075
Internal Medicine - Pulmonary Disease in Long Beach, CA

Active since April 27, 2017
1045 ATLANTIC AVE STE 616, LONG BEACH, CA 90813(562) 435-4473(562) 437-6937 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2017, Apr 27, 2017 (2 updates tracked since 2017).

About Jyoti S Datta Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JYOTI S DATTA MD INC (NPI 1033644075) is a healthcare organization registered as a pulmonary disease in Long Beach, California and active in the NPI registry since April 2017. The organization lists Jeannie C Savage, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033644075
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJYOTI S DATTA MD INC
Location Address1045 ATLANTIC AVE STE 616Long Beach, CA 90813-3411
Mailing Address1045 Atlantic Ave Ste 616Long Beach, CA 90813-3411 · (562) 435-4473 · Fax (562) 437-6937
Phone(562) 435-4473
Fax(562) 437-6937
Organization SubpartNo
Authorized OfficialJeannie C SavageOffice Manager · (562) 435-4473
Enumeration DateApril 27, 2017
Last NPPES UpdateMay 8, 20172 updates tracked since enumeration
✔ NPI 1033644075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A33096
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1045 ATLANTIC AVE STE 616, Long Beach, CA 90813
Open in Google Maps ↗

Other Identifiers 3

Medicare PINA33096CA
Medicare PINA27035CA
Medicaid00A330960CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyoti S Datta Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jyoti S Datta MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jyoti Datta, MD
Internal Medicine
NPI 1568535615
1045 ATLANTIC #616
Long Beach, CA 90813
(562) 435-4473
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jyoti S Datta MD Inc's NPI number?

The NPI number for Jyoti S Datta MD Inc is 1033644075. It was assigned to this organization in the NPPES registry on April 27, 2017.

Where is Jyoti S Datta MD Inc located?

Jyoti S Datta MD Inc is located at 1045 Atlantic Ave Ste 616, Long Beach, CA 90813. The listed phone number is (562) 435-4473.

What is Jyoti S Datta MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jyoti S Datta MD Inc enrolled in Medicare?

Yes. Jyoti S Datta MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jyoti S Datta MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jyoti S Datta MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jyoti S Datta MD Inc was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.