SHAGUN KUMARI BHATIA MD, MSCR
NPI 1104237353
Ophthalmology in La Jolla, CA

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
9415 CAMPUS POINT DR, LA JOLLA, CA 92093(588) 534-2020 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Shagun Kumari Bhatia Md, Mscr NPPES

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

SHAGUN KUMARI BHATIA MD, MSCR (NPI 1104237353) is an individual ophthalmology provider in La Jolla, California, licensed in California (A154902) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1104237353
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSHAGUN KUMARI BHATIACredential: MD, MSCR
Location Address9415 CAMPUS POINT DRLa Jolla, CA 92093-1350
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration
✔ NPI 1104237353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A154902
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9415 CAMPUS POINT DR, La Jolla, CA 92093

Secondary Practice Location 1

Location 140 Temple StNew Haven, CT 06510 · Phone (203) 785-2020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shagun Kumari Bhatia Md, Mscr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002195393
PECOS Enrollment IDI20180723002198
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shagun Bhatia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group
Ophthalmology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Ophthalmology
9415 CAMPUS POINT DR, MC 0946
LA JOLLA, CA 92093
Ophthalmology
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Chronic Disease Hospital
9415 CAMPUS POINT DR, BOX 0946
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9415 CAMPUS POINT DR, UNIVERSITY OF CALIFORNIA SAN DIEGO
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
9415 CAMPUS POINT DR
LA JOLLA, CA 92093

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 Shagun Bhatia's NPI number?

The NPI number for Shagun Bhatia is 1104237353. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Shagun Bhatia located?

Shagun Bhatia practices at 9415 Campus Point Dr, La Jolla, CA 92093. The listed phone number is (588) 534-2020.

What is Shagun Bhatia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shagun Bhatia enrolled in Medicare?

Yes. Shagun Bhatia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shagun Bhatia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shagun Bhatia reassigns Medicare benefits to 2 organizations: Rady Children's Hospital San Diego (San Diego, CA) and Regents Of The University Of California (San Diego, CA). Each 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 Shagun Bhatia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shagun Bhatia accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shagun Bhatia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shagun Bhatia was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.