Active NPI
Maninder Singh Bhutani, M.D.
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A143230
- Practice address
- 450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012 - Phone
- (718) 270-8867
- NPI assigned
- Apr 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD047518 | DC | |
| Psychiatry Physician | 2084P0800X | 0101267136 | VA | |
| Psychiatry Physician | 2084P0800X | A143230 | CA | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012
Other practice location 1
24077 State Highway 49
Nevada City, CA 95959-8519
Phone (530) 265-9057
Other practice location 2
1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456
Phone (540) 741-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Nebraska College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456
Phone (540) 741-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143230 | CA | MD | Psychiatry Physician |
| MD047518 | DC | MD | Psychiatry Physician |
| 0101267136 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Wisconsin Ave Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
| Ironwood Mind Center PLLC | Psychiatry | Current | Accepting new patients |
Locations
4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600
1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900
621 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 372-2028
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
dba Psychiatric Institute of Washington
- Psychiatric Hospital
- Washington, DC
- NPI 1871549949
Psychiatry
-
- Child & Adolescent Psychiatry Physician
- Sterling, VA
- NPI 1023831740
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1265876833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1262",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1262",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-8867"
}
],
"practiceLocations": [
{
"address_1": "24077 State Highway 49",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959598519",
"country_code": "US",
"telephone_number": "530-265-9057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Sam Perry Blvd",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014456",
"country_code": "US",
"telephone_number": "540-741-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHUTANI",
"first_name": "MANINDER",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-25",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD047518",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101267136",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A143230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.