Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shubham Bhatia, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124648274

Shubham Bhatia, MD is a General Surgery in Flushing, New York. Qualified in 2018, 8 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone: (718) 670-8830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6400 Perkins Rd, Baton Rouge, LA 70808-4124 — (225) 330-0497

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 346504 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124648274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2020
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address4500 Parsons Blvd, Flushing, NY 11355-2205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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