Individual provider Active NPI

Bhavi Khant

  • Family Nurse Practitioner
  • Bensalem, PA
National Provider Identifier
1619629748
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023595 Issued in PA
Practice address
3260 Tillman Dr Ste 120
Bensalem, PA 19020-2058
Phone
(215) 305-8834
NPI assigned
Jan 20, 2022
Last updated
Dec 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023595 PA Primary

Addresses

Primary practice location

3260 Tillman Dr Ste 120
Bensalem, PA 19020-2058

Mailing address

3260 Tillman Dr Ste 120
Bensalem, PA 19020-2058
Phone (215) 305-8834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426000160 PA Practitioner - Nurse Practitioner 0749645802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City DermatologyGroup PAC ID 5496974776, 4 clinicians

Practice addresses (Care Compare)

3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2058
Phone 2153058834100

Merit-based Incentive Payment System (MIPS)

Final score
97.46 of 100Reported as group
Quality
94.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP023595PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City Dermatology CurrentSince Jan 1, 2023 Accepting new patients

Locations

3260 Tillman Dr
Ste 120
Bensalem, PA 19020
Phone (215) 305-8834

234 Veterans Way
Ste 100
Warminster, PA 18974
Phone (215) 305-8834

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1619629748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR STE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202058",
            "telephone_number": "215-305-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR STE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202058",
            "telephone_number": "215-305-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANT",
        "first_name": "BHAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.