Individual provider Active NPI

Utpal K Bhanja, MD

  • Hematology & Oncology Physician
  • Gallipolis, OH
National Provider Identifier
1003801689
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35067633B Issued in OH
Practice address
170 Jackson Pike
Gallipolis, OH 45631-1539
Phone
(855) 446-5937
Fax
(740) 446-5622
NPI assigned
Sep 20, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35067633B OH Primary

Addresses

Primary practice location

170 Jackson Pike
Gallipolis, OH 45631-1539

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5000

Other practice location 1

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

Other practice location 2

515 Memorial Dr Ste 1
Manchester, KY 40962-9157
Phone (606) 598-4500

Other identifiers 3

IdentifierTypeStateIssuer
7100567180MedicaidKY
0076262001MedicaidWV
0996605MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040505000244 OH Practitioner - Hematology/Oncology 2163410457 Reassigns benefits to 1 organization
I20150506002024 NY Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2163410457 Reassigns benefits to 1 organization
I20181015003097 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2163410457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Practice addresses (Care Compare)

170 Jackson Pike
Gallipolis, OH 45631-1539
Phone (740) 446-5474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35067633BOHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Mar 5, 2015 Accepting new patients
Guthrie Medical Group, P.C. Hematology & Oncology CurrentSince Mar 5, 2015 Accepting new patients
I Path LLC Current Accepting new patients
Zanesville Specialists, Inc. Past Accepting new patients
Holzer Hospital Foundation PastSince Feb 14, 2021 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

2 Guthrie Dr
Corning, NY 14830
Phone (607) 937-3100

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: utpal.bhanja.2@17389.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003801689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311539",
            "telephone_number": "855-446-5937",
            "fax_number": "740-446-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Marie Langdon Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626388",
            "country_code": "US",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Memorial Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409629157",
            "country_code": "US",
            "telephone_number": "606-598-4500",
            "fax_number": "606-599-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANJA",
        "first_name": "UTPAL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35067633B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100567180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076262001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996605",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.