Individual provider Active NPI

Kulwant Singh Bhangoo, MD

  • Plastic Surgery Physician
  • Buffalo, NY
National Provider Identifier
1023112018
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
120905 Issued in NY
Practice address
4 Cazenovia Street
Buffalo, NY 14220-1794
Phone
(716) 826-4800
Fax
(716) 826-5643
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 120905 NY Primary
Plastic Surgery Physician 208200000X 7369 DC

Addresses

Primary practice location

4 Cazenovia Street
Buffalo, NY 14220-1794

Mailing address

4 Cazenovia Street
Buffalo, NY 14220-1794
Phone (716) 826-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000877 NY Practitioner - Plastic and Reconstructive Surgery 6305020074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4 Cazenovia St
Buffalo, NY 14220-1706
Phone (716) 826-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7369DCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silk Skin Inc, Plastic Surgery Past Accepting new patients

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1023112018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201794",
            "telephone_number": "716-826-4800",
            "fax_number": "716-826-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201794",
            "telephone_number": "716-826-4800",
            "fax_number": "716-826-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANGOO",
        "first_name": "KULWANT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "120905",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "7369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.