Active NPI
Bhavagan S Maganti, MD
- Anesthesiology Physician
- Auburn, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME85406
- Practice address
- 690 Minot Ave Ste 1
Auburn, ME 04210-3922 - Phone
- (207) 344-2220
- NPI assigned
- Aug 11, 2005
- Last updated
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME85406 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 008618 | ME |
Addresses
Primary practice location
690 Minot Ave Ste 1
Auburn, ME 04210-3922
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297670099 | Medicaid | ME | |
| 300803700 | Other | FL | DOL ACS (FECA) W/C |
| P00009748 | Other | FL | MEDICARE RAILROAD |
| 29222 | Other | FL | FL BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008618 | ME | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Anesthesia LLC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Collier Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Largo, FL
- NPI 1134210040
-
- Pain Medicine (Anesthesiology) Physician
- Clearwater, FL
- NPI 1497328173
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Naples, FL
- NPI 1649251745
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1003818923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 MINOT AVE STE 1",
"city": "AUBURN",
"state": "ME",
"postal_code": "042103922",
"telephone_number": "207-344-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANTI",
"first_name": "BHAVAGAN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME85406",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "008618",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297670099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL ACS (FECA) W/C",
"identifier": "300803700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00009748",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS PROVIDER #",
"identifier": "29222",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.