Individual provider Active NPI

Jatinder Bhangoo, M.D.

  • Anesthesiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1184669475
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
240184 Issued in NY
Practice address
1 Webster Ave Ste 505
Poughkeepsie, NY 12601-1363
Phone
(845) 452-0555
Fax
(845) 452-0550
NPI assigned
Jun 19, 2006
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 240184 NY Primary

Addresses

Primary practice location

1 Webster Ave Ste 505
Poughkeepsie, NY 12601-1363

Mailing address

1 Webster Ave Ste 505
Bedford Anesthesia PLLC
Poughkeepsie, NY 12601-1363
Phone (845) 452-0555

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
I20060818000009 NY Practitioner - Anesthesiology 9830192590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

34 S Bedford Rd
Mount Kisco, NY 10549-5402
Phone (914) 241-1050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Anesthesia Associates of St. Francis, P.C Past Accepting new patients
Eastern Pain Medicine PC Past Accepting new patients

Locations

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

110 S Bedford Rd
#P
Mount Kisco, NY 10549

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

34 S Bedford Rd
#P
Mount Kisco, NY 10549
Phone (914) 244-6789

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1 Webster Ave
Ste 505
Poughkeepsie, NY 12601
Phone (845) 452-0333

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1184669475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 505",
            "address_2": "BEDFORD ANESTHESIA PLLC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011363",
            "telephone_number": "845-452-0555",
            "fax_number": "845-452-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 505",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011363",
            "telephone_number": "845-452-0555",
            "fax_number": "845-452-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANGOO",
        "first_name": "JATINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "240184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.