Individual provider Active NPI

Ravindra Kumar Bhachawat, M.D.

  • Neurology Physician
  • Woodbury, NY
National Provider Identifier
1427244276
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
246300 Issued in NY
Practice address
7 Woodbury Farms Dr
Woodbury, NY 11797-1242
Phone
(631) 465-9333
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 246300 NY Primary

Addresses

Primary practice location

7 Woodbury Farms Dr
Woodbury, NY 11797-1242

Mailing address

PO Box 852
Wheatley Heights, NY 11798-0852
Phone (631) 465-9333

Other identifiers 1

IdentifierTypeStateIssuer
03120867MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20081121000455 NY Practitioner - Neurology 0143380014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

Hospital & facility affiliations

  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246300NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravindra Bhachawat Medicine PC Single Specialty CurrentSince Jan 5, 2009 Accepting new patients

Locations

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1427244276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117980852",
            "telephone_number": "631-465-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WOODBURY FARMS DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971242",
            "telephone_number": "631-465-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHACHAWAT",
        "first_name": "RAVINDRA",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "246300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03120867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.