NPIMap

Organization Active NPI

Sumit Bhutani, MD LLC

  • Medical Specialty Clinic/Center
  • Westminster, MD
National Provider Identifier
1366827362
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D72536 Issued in MD
Legal business name
SUMIT BHUTANI, MD LLC
Practice address
826 Washington Rd
Suite 204 a
Westminster, MD 21157-5750
Phone
(410) 525-5144
Fax
(410) 970-4648
NPI assigned
Jul 21, 2015
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Dr. Sumit Bhutani, M.D.NPI 1932347820
Title
Director
Phone
(856) 520-6496

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
Medical Specialty Clinic/Center 261QM2500X D72536 MD Primary

Addresses

Primary practice location

826 Washington Rd
Suite 204 a
Westminster, MD 21157-5750

Mailing address

826 Washington Rd
Suite 204 a
Westminster, MD 21157-5750
Phone (410) 525-5144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151012000477 MD Part B Supplier - Clinic/Group Practice 5799094892 Receives reassigned benefits from 6 practitioners
Practice locations: Westminster, MD

National Provider Directory

National Provider Directory

Locations

826 Washington Rd
Ste 204A
Westminster, MD 21157
Phone (410) 525-5144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16725/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1366827362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 204 A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-525-5144",
            "fax_number": "410-970-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 204 A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-525-5144",
            "fax_number": "410-970-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMIT BHUTANI, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BHUTANI",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-520-6496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D72536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.