NPIMap

Individual provider Active NPI

Nikhil Y Bhatt, MD

  • Internal Medicine Physician
  • La Grange, KY
National Provider Identifier
1013962562
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D07603600 Issued in NJ
Practice address
1006 New Moody Lane
La Grange, KY 40031
Phone
(502) 222-0028
NPI assigned
May 23, 2006
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D07603600 NJ Primary

Addresses

Primary practice location

1006 New Moody Lane
La Grange, KY 40031

Mailing address

1006 New Moody LN
La Grange, KY 40031-9122
Phone (502) 222-0028

Other identifiers 4

IdentifierTypeStateIssuer
000000501663OtherKYANTHEM
841649267OtherKYCOMMERCIAL
P00418514OtherKYRR MEDICARE
31001092MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D07603600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimball Medical Center House Staff/Ekg Past Accepting new patients
Kimball Medical Center, Inc Internal Medicine Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients
First Stop Urgent Care Center PSC Internal Medicine Past Accepting new patients
First Stop Urgent Care Dupont PSC Past Accepting new patients
Hospital Group of South Jersey, PC Internal Medicine Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1013962562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LANE",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "40031",
            "telephone_number": "502-222-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "NIKHIL",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "D07603600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000501663",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "841649267",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00418514",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31001092",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.