MEDICARE: DR. ADITYA KUMAR BHARTIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	45192	KY
2	207RN0300X	Nephrology Physician	33503	AL
3	207RN0300X	Nephrology Physician	55306	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932337060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADITYA KUMAR BHARTIA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3877
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60434-3877
Country	:	US
Telephone Number	:	815-714-7171
Fax Number	:	815-435-5080

Provider Business Practice Location Address
First Line	:	1060 PEERLESS XING NW STE 101
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3785
Country	:	US
Telephone Number	:	423-339-3340
Fax Number	:	423-339-9927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2009
Last Update Date	:	02/10/2026

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Directions to “ DR. ADITYA KUMAR BHARTIA M.D.” Practice Location

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