Individual provider Active NPI

Pushpa R Bhansali, M.D.

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1093741506
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
157768-1 Issued in NY
Practice address
2428 Ocean Avenue
Brooklyn, NY 11229
Phone
(718) 934-7770
Fax
(718) 934-8038
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 157668 NY
Orthopaedic Surgery Physician 207X00000X 157768-1 NY Primary

Addresses

Primary practice location

2428 Ocean Avenue
Brooklyn, NY 11229

Mailing address

2428 Ocean Avenue
Brooklyn, NY 11229
Phone (718) 934-7770

Other identifiers 1

IdentifierTypeStateIssuer
00834744MedicaidNY

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
I20120614000532 NY Practitioner - Orthopedic Surgery 3072777432 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2428 Ocean Ave
Brooklyn, NY 11229-3509
Phone (718) 934-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157768-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pushpa R. Bhansali, Physician, P.C. Orthopaedic Surgery Current Accepting new patients
Boro Medical, P.C. Orthopaedic Surgery Past Accepting new patients
Atlantic Sports Medicine Past Accepting new patients

Locations

2428 Ocean Ave
Brooklyn, NY 11229
Phone (718) 934-7770

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1093741506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-934-7770",
            "fax_number": "718-934-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-934-7770",
            "fax_number": "718-934-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANSALI",
        "first_name": "PUSHPA",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "157668",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "157768-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.