DR. JEEVAN BHATTA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1861844003

DR. JEEVAN BHATTA (CRNA) is a healthcare provider. based in Ewa beach, Hawaii. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-121107 (AL). The NPI Number for DR. JEEVAN BHATTA (CRNA) is 1861844003

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEEVAN BHATTA (CRNA)
NPI
1861844003
Phone
(205) 223-8511
Address
91-1125 KAILEONUI ST
Enumeration Date
12 July 2016
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172696000
Graduation Year
2016 (10 years ago)
PAC ID
0840675625
Group Practice PAC ID
1850290149
Professional Enrollment ID
I20241221000054
Address ID
MO658075210SP3801XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

118 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in HI

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Provider Addresses for DR. JEEVAN BHATTA (CRNA)

  • Kaileonui Street, Ewa Beach, Honolulu County, Hawaii, 96706, United States

    EWA BEACH, HI 967066048

    Phone: (205) 223-8511

    Type: Mailing

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • 4430 MISSOURI AVE

    FORT LEONARD WOOD, MO 654739098

    Phone: (573) 596-0417

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241221000054ICertified Registered Nurse Anesthetist (Crna)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850290149View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology AssistantMO
Anesthesiology AssistantMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEEVAN BHATTA (CRNA)'s NPI?
Yes. DR. JEEVAN BHATTA (CRNA) is listed with NPI 1861844003 in the public NPI dataset.
Can I rely on DR. JEEVAN BHATTA (CRNA) being an active provider?
As of the registry snapshot, DR. JEEVAN BHATTA (CRNA) is marked active.
What taxonomy line describes DR. JEEVAN BHATTA (CRNA)?
For research purposes, treat DR. JEEVAN BHATTA (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JEEVAN BHATTA (CRNA) based?
DR. JEEVAN BHATTA (CRNA) is tied to Ewa Beach, Hawaii in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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