NPIMap

Individual provider Active NPI

Bhaskar R Yeturu, MD

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1609882000
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225633 Issued in NY
Practice address
8712 58TH Ave
Elmhurst, NY 11373-4821
Phone
(718) 426-4800
Fax
(718) 651-9284
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225633 NY Primary

Addresses

Primary practice location

8712 58TH Ave
Elmhurst, NY 11373-4821

Mailing address

8712 58TH Ave
Elmhurst, NY 11373-4821
Phone (718) 426-4800

Other identifiers 1

IdentifierTypeStateIssuer
02587584MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824001419 NY Practitioner - Internal Medicine 7012981061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10017 23Rd Ave
East Elmhurst, NY 11369-1305
Phone (718) 426-4800

10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Phone (718) 426-4800

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 426-4800

10210 66TH Rd
Suite 1G
Forest Hills, NY 11375-7608
Phone (718) 426-4800

6180 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (718) 426-4800

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Vnsny Hospice and Palliative Care Hospice, New York, NY, CCN 331519
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Rego Park Nursing Home Nursing home, Flushing, NY, CCN 335379
  • Elmhurst Care Center, Inc, Nursing home, East Elmhurst, NY, CCN 335814
  • New East Side Nursing Home Nursing home, New York, NY, CCN 335517

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
225633NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhaskar R. Yeturu Physician PC Internal Medicine CurrentSince Dec 26, 2011 Accepting new patients
New East Side Nursing Home LLC Past Accepting new patients
Elmhurst Care Center Inc Past Accepting new patients
Rego Park N H LTD Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Reddy and Reddy Medical Associated PLLC Internal Medicine Past Accepting new patients

Locations

10017 23rd Ave
Flushing, NY 11369
Phone (718) 205-8100

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

10210 66th Rd
Ste 1G
Forest Hills, NY 11375
Phone (718) 997-0658

25 Willett St
New York, NY 10002
Phone (212) 602-1722

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1609882000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800",
            "fax_number": "718-651-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETURU",
        "first_name": "BHASKAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.