Active NPI
Bhavana Bhagya Rao, M.D.
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 304118
- Practice address
- 17 E 102ND St
New York, NY 10029-5204 - Phone
- (212) 241-8100
- Fax
- (646) 537-8921
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD467502 | PA | |
| Gastroenterology Physician | 207RG0100X | MD467502 | PA | |
| Gastroenterology Physician | 207RG0100X | 304118 | NY | Primary |
Addresses
Primary practice location
17 E 102ND St
New York, NY 10029-5204
Mailing address
150 E 42ND St FL 9
New York, NY 10017-5699
Phone (646) 605-8186
Other practice location 1
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8222
Other practice location 2
5 E 98th St
New York, NY 10029-6501
Phone (212) 241-4299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000
5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-4299
Hospital & facility affiliations
- Mount Sinai Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 26 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304118 | NY | MD | Gastroenterology Physician |
| MD467502 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| University of Penn - Medical Group | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Gastroenterology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330
3400 Spruce St
Fl 3
Philadelphia, PA 19104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
- Gastroenterology Physician
- New York, NY
- NPI 1730440777
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1477660173
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1437598331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 42ND ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175699",
"telephone_number": "646-605-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 102ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295204",
"telephone_number": "212-241-8100",
"fax_number": "646-537-8921"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-349-8222",
"fax_number": "215-349-5915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 E 98th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296501",
"country_code": "US",
"telephone_number": "212-241-4299",
"fax_number": "212-426-5099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAGYA RAO",
"first_name": "BHAVANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD467502",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD467502",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "304118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.