Active NPI
Krishna Reddy Bhaghayath, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Henderson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 12642
- Practice address
- 120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882 - Phone
- (252) 436-6240
- Fax
- (252) 492-5707
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 12642 | NH | Primary |
Addresses
Primary practice location
120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Mailing address
120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 436-6240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205244 | Medicaid | NH | |
| 3078651 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| DLP Wilson Physician Practices LLC | Current | Accepting new patients | |
| DLP Wilson Physician Practices LLC | Current | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430
1700 Tarboro St W
Ste 103
Wilson, NC 27893
Phone (252) 293-9898
1700 Tarboro St W
Ste 200
Wilson, NC 27893
Phone (252) 399-5310
2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Family Medicine Physician
- Wilson, NC
- NPI 1932521010
-
dba Wilson Primary Care
- Rural Health Clinic/Center
- Wilson, NC
- NPI 1992482079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1619071065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CHARLES ROLLINS RD",
"address_2": "SUITE 206",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362882",
"telephone_number": "252-436-6240",
"fax_number": "252-492-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CHARLES ROLLINS RD",
"address_2": "SUITE 206",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362882",
"telephone_number": "252-436-6240",
"fax_number": "252-492-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGHAYATH",
"first_name": "KRISHNA",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NH",
"license": "12642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205244",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078651",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- Best Care IV Services (Optioncare)
- Best Care of Henderson LLC (Best Care Pharmacy)
- Danelle H Betancourt, MS. CCC-SLP
- Brianna Jayne Betker, M.S. ED.,BCBA
- Beyond Challenges Community Services LLC
- Jessica Colleen Garcia Bitencourt, D.O.
- Sheila Anita Bizune, PHARM.D.
- Benjamin Ellis Blackwell, LCSWA
- Crystal Wynette Blash
- Mary Blessing, AGPCNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.