NPIMap

Organization Active NPI

Bhaskar R. Yeturu Physician PC

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1265706196
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225633 Issued in NY
Legal business name
BHASKAR R. YETURU PHYSICIAN PC
Practice address
8712 58TH Ave
Elmhurst, NY 11373-4821
Phone
(718) 426-4800
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Bhaskar R Yeturu, M.DNPI 1609882000
Title
President
Phone
(917) 705-4348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 225633 NY Primary

Addresses

Primary practice location

8712 58TH Ave
Elmhurst, NY 11373-4821

Mailing address

20 Vanad Dr
Roslyn, NY 11576-2527
Phone (917) 705-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000506 NY Part B Supplier - Clinic/Group Practice 5193984383 Receives reassigned benefits from 5 practitioners
Practice locations: Corona, NY; East Elmhurst, NY; Forest Hills, NY; New York, NY; Rego Park, NY; South Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1265706196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VANAD DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762527",
            "telephone_number": "917-705-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHASKAR R. YETURU PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "YETURU",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-705-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.