Individual provider Active NPI

Bhavnish Bucktowarsing, M.D.

  • Nephrology Physician
  • Canton, OH
National Provider Identifier
1235544198
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35131753 Issued in OH
Practice address
4650 Hills and Dales Rd NW
Canton, OH 44708
Phone
(330) 649-9400
Fax
(330) 649-8059
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 35131753 OH Primary

Addresses

Primary practice location

4650 Hills and Dales Rd NW
Canton, OH 44708

Mailing address

4650 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 649-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190612002735 OH Practitioner - Nephrology 3072822980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Consultants IncGroup PAC ID 1951206085, 10 clinicians

Practice addresses (Care Compare)

4650 Hills and Dales Rd NW
Canton, OH 44708-6220
Phone (330) 649-9400

Hospital & facility affiliations

  • DaVita Millersburg Dialysis Dialysis facility, Millersburg, OH, CCN 362825
  • DaVita Wooster Dialysis Dialysis facility, Wooster, OH, CCN 362840
  • DaVita Canton Dialysis Dialysis facility, Canton, OH, CCN 362866
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Union Hospital Hospital, Dover, OH, CCN 360010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Consultants, Inc. Nephrology CurrentSince Jul 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4650 Hills and Dales Rd NW
Ste 1
Canton, OH 44708

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4650 Hills and Dales Rd NW
Fl 1
Canton, OH 44708
Phone (330) 649-9400

4689 Fulton Dr NW
Canton, OH 44718
Phone (330) 649-9400

4650 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 491-9675

1261 Wooster Rd
Ste 230
Millersburg, OH 44654
Phone (330) 674-3434

Interoperability endpoints

  • Direct secure messaging: drbucktowarsing@kandh.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1235544198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKTOWARSING",
        "first_name": "BHAVNISH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35131753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.