Individual provider Active NPI

Bupesh Dogra, M.D

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275889743
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265921 Issued in NY
Practice address
602 Schenectady Ave
Brooklyn, NY 11203-1821
Phone
(347) 702-0637
NPI assigned
Aug 2, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265921 NY Primary

Addresses

Primary practice location

602 Schenectady Ave
Brooklyn, NY 11203-1821

Mailing address

379 Kings Hwy
Apt#3E
Brooklyn, NY 11223-1648

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
I20220817003736 OH Practitioner - HospitalistPractitioner - Internal Medicine 0345498713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Improvement activities
40
Cost
69.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Aug 1, 2023 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Nov 12, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Oct 1, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Oct 1, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • Direct secure messaging: bupesh.dogra.p1@direct.whc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1275889743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 KINGS HWY",
            "address_2": "APT#3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SCHENECTADY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031821",
            "telephone_number": "347-702-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGRA",
        "first_name": "BUPESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.