Organization Active NPI

Mukesh Bhatt MD Inc

  • Specialist
  • Medina, OH
National Provider Identifier
1558472605
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
57526 Issued in OH
Legal business name
MUKESH BHATT MD INC
Practice address
970 E Washington St
Ste 4 D
Medina, OH 44256-3332
Phone
(330) 722-5422
Fax
(330) 722-8396
NPI assigned
Aug 31, 2006
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Mukesh Bhatt, MDNPI 1326026154
Title
MD
Phone
(330) 722-5422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 57526 OH Primary

Addresses

Primary practice location

970 E Washington St
Ste 4 D
Medina, OH 44256-3332

Mailing address

970 E Washington St
Ste 4 D
Medina, OH 44256-3332
Phone (330) 722-5422

Other identifiers 1

IdentifierTypeStateIssuer
0784325MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1558472605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "STE 4 D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-722-5422",
            "fax_number": "330-722-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "STE 4 D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-722-5422",
            "fax_number": "330-722-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH BHATT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-722-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "57526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0784325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.