DR. ROHINI BHATIA
NPI 1164984605
Radiology - Radiation Oncology in Atlanta, GA

NPI Status: Active since April 03, 2019

Contact Information

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 778-3473

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  • Individual
  • Female
  • Years of Experience 7
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROHINI BHATIA

This page provides the complete NPI Profile along with additional information for Rohini Bhatia, a provider established in Atlanta, Georgia with a medical specialization in Radiology, focusing in radiation oncology and more than 7 years of experience. She graduated from University Of Rochester School Of Medicine And Dentistry in 2019. The healthcare provider is registered in the NPI registry with number 1164984605 assigned on April 2019. The practitioner's primary taxonomy code is 2085R0001X with license number 100465 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1164984605
Provider Name
DR. ROHINI BHATIA
Gender
Female
Entity Type
Individual
Location Address
1365C CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(404) 778-3473
Mailing Address
8305 GOVERNOR KENT TER ELLICOTT CITY, MD 21043
Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
04-03-2019
Last Update Date
06-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
100465
License State
GA
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Rohini Bhatia is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rohini Bhatia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103152616

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241011001593

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $43.1 for a new patient copayment and $17.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30322 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $172.43
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $43.1
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.85
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $17.71
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ROHINI BHATIA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164984605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124188860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 8 + 8 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1164984605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. CARL JOSEPH D'ORSI M.D.

Specialist

1365C CLIFTON RD NE
SUITE C1104
ATLANTA, GA
ZIP 30322

(404) 778-4446

DR. KATHLEEN R GUNDRY MD

Radiology

(Diagnostic Radiology)

1365C CLIFTON RD NE
SUITE C1104
ATLANTA, GA
ZIP 30322

(404) 778-4446

SHERYL GABRAM MD

Surgery

(Surgical Oncology)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-1900

MARTHA L ARELLANO MD

Internal Medicine

(Hematology)

1365C CLIFTON RD NE
SUITE 1152 C
ATLANTA, GA
ZIP 30322

(404) 778-1900

DR. AJAY K NOOKA M.D., M.P.H.,F.A.C.P

Internal Medicine

(Hematology & Oncology)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-0655

SUCHITA PAKKALA MD

Internal Medicine

(Hematology & Oncology)

1365C CLIFTON RD NE
3RD FLOOR
ATLANTA, GA
ZIP 30322

(404) 686-1000

DR. NATALYN HAWK M.D., PH.D

Internal Medicine

(Hematology & Oncology)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 731-6365

EKTA GUPTA MD

Radiology

(Diagnostic Radiology)

1365C CLIFTON RD NE
BLDG C, SUITE C 11004
ATLANTA, GA
ZIP 30322

(404) 778-4446

DR. ADNAN ABDUL JABBAR M.D., PH.D.

Student in an Organized Health Care Education/Training Program

1365C CLIFTON RD NE
WINSHIP CANCER INSTITUTE, HEME/ONC, SUITE # 4082
ATLANTA, GA
ZIP 30322

(404) 778-1351

MRS. SHARON A ETRIS APRN

Nurse Practitioner

(Family)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-4649

EMORY HEALTHCARE WINSHIP CANCER INSTITUTE

Clinic/Center

(Oncology)

1365C CLIFTON RD NE
SUITE C2056
ATLANTA, GA
ZIP 30322

(404) 778-1900

ANNA I HOLBROOK MD

Radiology

(Diagnostic Radiology)

1365C CLIFTON RD NE
SUITE C1104
ATLANTA, GA
ZIP 30322

(404) 778-4446

DR. RATHI NARAYANA PILLAI M.D.

Internal Medicine

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 686-5500

DR. ZACHARIAH DEFILIPP M.D.

Internal Medicine

(Hematology & Oncology)

1365C CLIFTON RD NE
SUITE C5010
ATLANTA, GA
ZIP 30322

(404) 778-1900

EMILIE ELISE HITRON FNP

Nurse Practitioner

(Family)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(617) 816-2122

JOEL O ANDREWS PA-C

Physician Assistant

1365C CLIFTON RD NE
BUILDING C
ATLANTA, GA
ZIP 30322

(404) 778-1900

MRS. MELISSA RENEE HAMPTON NP

Nurse Practitioner

(Family)

1365C CLIFTON RD NE
C2056
ATLANTA, GA
ZIP 30322

(404) 778-1900

CAMILLE MELINDA USHER NP-C

Nurse Practitioner

(Family)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-3473

BRITTANY HILL CARTER PA-C

Physician Assistant

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-1900

CATHERINE ROSE CAPRARA BRAGA N.P.

Nurse Practitioner

(Acute Care)

1365C CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 778-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164984605, enumerated as an "individual" on April 03, 2019.

The provider is located at 1365C CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (404) 778-3473.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.