Active NPI
Bhavnish Bucktowarsing, M.D.
- Nephrology Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35131753
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 Hills and Dales Rd NW
Canton, OH 44708-6220
Phone (330) 649-9400
Hospital & facility affiliations
- DaVita Millersburg Dialysis
- DaVita Wooster Dialysis
- DaVita Canton Dialysis
- Mercy Medical Center
- Aultman Hospital
- Pomerene Hospital
- Aultman Orrville Hospital
- Union Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney & Hypertension Consultants, Inc. | Nephrology | Current | 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
- 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.
-
- Nephrology Physician
- Canton, OH
- NPI 1770524696
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canton, OH
- NPI 1629596267
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Millersburg, OH
- NPI 1225447907
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wooster, OH
- NPI 1740651132
Dialysis facility
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Critical Access Hospital
- Orrville, OH
- NPI 1891718375
-
- Rural Acute Care Hospital
- Dover, OH
- NPI 1871606921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.