Govindlal K Bhanusali, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1533391 Issued in NY

Practice address

15 Dunning Road
Suite 2
Middletown, NY 10940-2212

Phone

(845) 342-1553

Fax

(845) 343-3723

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• G Bhanusali MD PC

  • Orthopaedic Surgery Physician
  • Middletown, NY
  • NPI 1700069242
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205844503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DUNNING ROAD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402212",
            "telephone_number": "845-342-1553",
            "fax_number": "845-343-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DUNNING ROAD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402212",
            "telephone_number": "845-342-1553",
            "fax_number": "845-343-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANUSALI",
        "first_name": "GOVINDLAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1533391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonardo De Jesus Berroa, CASAC-T
• Darius Bertolino, COTA
• Melissa Dorothy Bertuccio
• Emily Beyer, LMHC
• Suleman Bhana, M.D.
• Vikrant Bhatnagar, MD
• Vivek Bhatty, DMD
• Nadia Bhuyain, DO
• Ryan Bigelsen, DO
• Kristine Bihun, RD, CDE

• Orthopaedic Surgery Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.