K G Sahetya PSC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

20980 Issued in KY

Legal business name

K G SAHETYA PSC

Practice address

427 US 31W Byp
Bowling Green, KY 42101-1703

Phone

(270) 796-8800

Fax

(270) 796-9328

NPI assigned

Jun 5, 2006

Last updated

Apr 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kalidas G Sahetya, MDNPI 1649258088

Title

President

Phone

(270) 796-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 5

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.

• Kalidas G Sahetya, MD

  • Interventional Cardiology Physician
  • Bowling Green, KY
  • NPI 1649258088
  Medicare reassignment NPD Authorized official
• Michelle R Black, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
  • NPI 1053411132
  Medicare reassignment NPD
• Tina S Graham, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
  • NPI 1548374879
  Medicare reassignment NPD
• Lori R Marrero, APRN

  • Family Nurse Practitioner
  • Providence, KY
  • NPI 1124425418
  Medicare reassignment NPD
• Gul K Sahetya, MD

  • Pulmonary Disease Physician
  • Bowling Green, KY
  • NPI 1922025535
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1508805870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90039",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029039",
            "telephone_number": "270-796-8800",
            "fax_number": "270-796-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011703",
            "telephone_number": "270-796-8800",
            "fax_number": "270-796-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K G SAHETYA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SAHETYA",
        "authorized_official_first_name": "KALIDAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-796-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "20980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000050059",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209802",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Cornelius (Alegria Health Services)
• Melinda C Joyce, PHARM.D.
• Mary Laura Judd, PT
• Michael Judd, ATC, CSCS
• Terri Ann Julian, M.ED., BCBA, LBA
• K'Nai Beauty Supply & Salon LLC
• K&G Counseling and Consulting, LLC.
• Emily Kaiser, IBCLC
• Samer Rida Kalakish, M.D.
• Leta Lee Kant, P.T.

• Interventional Cardiology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Interventional Cardiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.