Komala N Bhushan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME06580 Issued in FL

Practice address

512 N Lecanto Hwy # 491
Lecanto, FL 34461-8547

Phone

(352) 527-2244

NPI assigned

Dec 12, 2006

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: komala.bhushan@lhs.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Project Health Inc

  dba Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Sumterville, FL
  • NPI 1437180239
  Medicare reassignment NPD
• Nature Coast Pediatrics, Inc

  • Legal Medicine
  • Lecanto, FL
  • NPI 1508826355
  Authorized official Same address or phone
• Project Health Inc

  dba Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1942487186
  NPD
• Project Health Inc.

  dba Langley Health Services

  • Private Vehicle
  • Sumterville, FL
  • NPI 1184122517
  NPD
• Project Health Inc

  dba Langley Health Services

  • Physiological Laboratory
  • Sumterville, FL
  • NPI 1750503322
  NPD (past)
• Project Health Inc.

  dba Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
  • NPI 1598270555
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1457412801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 W BRITAIN ST",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344428200",
            "telephone_number": "352-527-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N LECANTO HWY # 491",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-527-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUSHAN",
        "first_name": "KOMALA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME06580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER#",
            "identifier": "74732",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270492700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI GROUP",
            "identifier": "201205",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE & HEALTHYKIDS",
            "identifier": "21644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa C. Bello, PT
• Charles Joseph Bennett Jr., M.D.
• Carmen M Besselli, LCSW
• Best Care Senior Living at Lecanto LLC
• Amy Bevard, PTA
• Glenda Sue Bivona, FNP-BC
• BJ's Wholesale Club Inc.
• Brett Patrick Blake, M.D.
• Board of County Commissioners Citrus County (Citrus County, a Political Subdivision of the State of Florida)
• Ashley Danielle Boardman

• Pediatrics Physician in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.