Ballambattu R Bhat, MD
Individual provider Active NPI Internal Medicine Physician · Bethpage, NY
NPI 1366485930 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1366485930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 120968 (NY)
- Practice address
- 1055 Stewart Avenue
Bethpage, NY 11714-3596 - Phone
- (516) 938-0100
- Fax
- (516) 938-0120
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantagecare Physicians PC
Practice addresses (Care Compare)
1055 Stewart Ave
Bethpage, NY 11714-3596
Phone (516) 938-0100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000391 | NY | Practitioner - Allergy/Immunology |
8022033588 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120968 | NY | MD | Internal Medicine Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Internal Medicine | Current |
Accepting new patients |
| Advantagecare Physicians PC | Current |
Accepting new patients |
Locations
1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085
55 Water St
Fl 2
New York, NY 10041
300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700
640 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 737-0100
70 Charles Lindbergh Blvd
Ste 100
Uniondale, NY 11553
Phone (516) 483-2020
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- bbhat3701@direct.acpny.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 120968 | NY | |
| Internal Medicine Physician | 207R00000X | 120968 | NY | Yes |
Addresses
Primary practice location
1055 Stewart Avenue
Bethpage, NY 11714-3596
Mailing address
55 Water Street 2ND Floor
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone (631) 471-0100
Other practice location 2
300 Bayshore Road
North Babylon, NY 11703-2823
Phone (631) 586-2700
Other practice location 3
70 Charles Lindbergh Blvd Ste 100
Uniondale, NY 11553-3634
Phone (516) 483-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00408613 | Medicaid | NY |
Other providers in Bethpage, NY
- Bethpage Optical, LLC
- Bethpage Pharmacy Inc
- Bethpage Physical Therapy Assoc PC
- Bethpage Union Free School District
- Saumya Bhasin
- Bhatt Dental PLLC
- Jyotiben Jigar Bhatt
- Subbarao Bhimani
- Kimberly Bickard
- Claire Bilodeau
All providers in Bethpage, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.