Individual provider Active NPI

Kiran K Bhat, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1104872530
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
179103 Issued in NY
Practice address
55 Greene Ave
Brooklyn, NY 11238-1026
Phone
(917) 400-9426
Fax
(718) 250-6489
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 179103 NY Primary

Addresses

Primary practice location

55 Greene Ave
Brooklyn, NY 11238-1026

Mailing address

297 Adelphi St
Brooklyn, NY 11205-4602
Phone (917) 385-3960

Other identifiers 1

IdentifierTypeStateIssuer
01845261MedicaidNY

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
I20040726000783 NY Practitioner - Gastroenterology 9234119587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Greene Ave
Suite 1a
Brooklyn, NY 11238-6432
Phone (718) 398-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthealth Medical P.C. Gastroenterology CurrentSince Aug 28, 2022 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients
Caledonian Health Center Past Accepting new patients

Locations

55 Greene Ave
Ste 1A
Brooklyn, NY 11238
Phone (718) 398-2121

55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1104872530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 ADELPHI ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054602",
            "telephone_number": "917-385-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381026",
            "telephone_number": "917-400-9426",
            "fax_number": "718-250-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "KIRAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "179103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01845261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.