BHAVINI GOPALDAS (PA) – Physician Assistant, NPI 1811412372

BHAVINI GOPALDAS (PA) is a healthcare provider. based in Sedalia, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2025004414 (MO). The NPI Number for BHAVINI GOPALDAS (PA) is 1811412372

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BHAVINI GOPALDAS (PA)
NPI
1811412372
Phone
(660) 826-4774
Address
821 Westwood Dr
Enumeration Date
7 August 2017
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6604382717
Graduation Year
2017 (9 years ago)
PAC ID
1557634102
Group Practice PAC ID
8224926092
Professional Enrollment ID
I20250619001348
Address ID
MO653556396WA17571RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for BHAVINI GOPALDAS (PA)

  • 821 Westwood Dr

    Sedalia, MO 653012102

    Phone: (660) 826-4774

    Fax: (660) 826-1300

    Type: Location

  • 420, West 15th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    EMPORIA, KS 668015367

    Phone: (620) 342-4864

    Fax: (620) 343-3545

    Type: Mailing

  • 17571 N DAM ACCESS RD

    WARSAW, MO 653556396

    Phone: (660) 438-2717

    Fax: (660) 438-2313

    Type: Location

  • 1602, North Elm Street, Eureka, Greenwood County, Kansas, 67045, United States

    EUREKA, KS 670451090

    Phone: (620) 583-7436

    Fax: (620) 583-6848

    Type: Location

  • 305 W MAIN ST

    SEDALIA, MO 653013821

    Phone: (660) 310-0909

    Fax: (888) 979-8868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-19

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
I20250619001348IPhysician AssistantMOTBD

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 65301)

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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: 8224926092View full group profile
NameSpecialtyState
Mental Health CounselorCA
Family PracticeMO
Clinical Social WorkerMO
Family PracticeMO
-MO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do payers reference BHAVINI GOPALDAS (PA)?
For BHAVINI GOPALDAS (PA), use NPI 1811412372 as the unique 10-digit identifier.
Is there an active status for BHAVINI GOPALDAS (PA)?
For scheduling context, BHAVINI GOPALDAS (PA) is shown as active in the registry.
What kind of doctor is BHAVINI GOPALDAS (PA)?
BHAVINI GOPALDAS (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BHAVINI GOPALDAS (PA)?
Travel planning: use Sedalia, Missouri as the reference point for BHAVINI GOPALDAS (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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