Individual provider Active NPI

Navneet Bhullar, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1154364818
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440966 Issued in PA
Practice address
800 Spruce St
Pine 1 West
Philadelphia, PA 19107-6130
Phone
(215) 829-7817
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20505 WV
Hospitalist Physician 208M00000X MD440966 PA
Internal Medicine Physician 207R00000X MD440966 PA Primary

Addresses

Primary practice location

800 Spruce St
Pine 1 West
Philadelphia, PA 19107-6130

Mailing address

800 Spruce St
Pine 1 West
Philadelphia, PA 19107-6130
Phone (215) 829-7817

Other identifiers 1

IdentifierTypeStateIssuer
1026514250009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111109000391 PA Practitioner - Internal Medicine 4688696966 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440966PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince May 11, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince May 11, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2015 Accepting new patients
Lake Erie Medical Group PC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine Past Accepting new patients
Kelly Medical Services Corporation LLC Emergency Medicine Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Organizations & group practices 9

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1154364818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "PINE 1 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "PINE 1 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "NAVNEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20505",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD440966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026514250009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.