DR. SUMIT BHATIA (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1780670596

DR. SUMIT BHATIA (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036117968 (IL). The NPI Number for DR. SUMIT BHATIA (MD) is 1780670596

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUMIT BHATIA (MD)
NPI
1780670596
Phone
(800) 325-7706
Address
1008 N MAIN ST
Enumeration Date
27 September 2005
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153907271
Graduation Year
2001 (25 years ago)
PAC ID
5092744649
Professional Enrollment ID
I20070728000066
Address ID
IL604081912BR170XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

958 OPHTHALMOLOGY in IL

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Provider Addresses for DR. SUMIT BHATIA (MD)

  • 1008, North Main Street, Cultural District, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617011784

    Phone: (800) 325-7706

    Type: Mailing

  • 170 E Main St

    Braidwood, IL 604081912

    Phone: (815) 390-7271

    Type: Location

  • 2010 JACOBSSEN DR STE C

    NORMAL, IL 617616280

    Phone: (815) 390-7271

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($205).

Total Amount

$465

General + Research + Ownership

Payments

22

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2007-07-28

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
I20070728000066IOphthalmologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg6,66019$0
92134Imaging of retina562153$0
67028Injection of drug into eye40182$0
J0178Injection, aflibercept, 1 mg37833$0
J2781Injection, pegcetacoplan, intravitreal, 1 mg36016$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

Is there an official ID for DR. SUMIT BHATIA (MD) in U.S. healthcare records?
The official identifier for DR. SUMIT BHATIA (MD) is NPI 1780670596.
Is there an active status for DR. SUMIT BHATIA (MD)?
For scheduling context, DR. SUMIT BHATIA (MD) is shown as active in the registry.
What kind of doctor is DR. SUMIT BHATIA (MD)?
DR. SUMIT BHATIA (MD) is associated with Retina Specialist (Ophthalmology) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SUMIT BHATIA (MD) associated with Bloomington?
Public fields place DR. SUMIT BHATIA (MD) around Bloomington, Illinois. Always confirm the exact site before visiting.
Does DR. SUMIT BHATIA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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