Individual provider Active NPI

Bhumi Dodson, PA

  • Physician Assistant
  • Norwalk, CT
National Provider Identifier
1366994923
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3735 Issued in CT
Practice address
346 Main Ave
Norwalk, CT 06851-1592
Phone
(203) 846-0005
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3735 CT Primary

Addresses

Primary practice location

346 Main Ave
Norwalk, CT 06851-1592

Mailing address

24 Stevens St
Norwalk, CT 06850-3852

Other practice location 1

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2281

Other names 1

  • Bhumi Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211000010 PA Practitioner - Physician Assistant 5597045138 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Jan 24, 2022 Accepting new patients
York Hospital CurrentSince Jan 24, 2022 Accepting new patients

Locations

1001 S George St
York, PA 17403
Phone (717) 812-7687

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1366994923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511592",
            "telephone_number": "203-846-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Stevens St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503852",
            "country_code": "US",
            "telephone_number": "203-852-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "BHUMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHUMI",
            "last_name": "PATEL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.