Individual provider Active NPI

Nilesh Harilal Bhoot, M.D.

  • Surgery Physician
  • Montrose, CA
National Provider Identifier
1639345705
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A94735 Issued in CA
Practice address
2520 Honolulu Ave
Suite 160
Montrose, CA 91020-1853
Phone
(818) 476-5656
Fax
(818) 248-0999
NPI assigned
May 7, 2008
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A94735 CA Primary

Addresses

Primary practice location

2520 Honolulu Ave
Suite 160
Montrose, CA 91020-1853

Mailing address

2520 Honolulu Ave
Suite 160
Montrose, CA 91020-1853
Phone (818) 476-5656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090822000123 CA Practitioner - General Surgery 9931253119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2520 Honolulu Ave
Suite 160
Montrose, CA 91020-1853
Phone (818) 476-5656

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bhoot Surgical Inc Surgery CurrentSince Jan 1, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

2520 Honolulu Ave
Ste 160
Montrose, CA 91020
Phone (818) 476-5656

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 3

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1639345705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HONOLULU AVE",
            "address_2": "SUITE 160",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201853",
            "telephone_number": "818-476-5656",
            "fax_number": "818-248-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HONOLULU AVE",
            "address_2": "SUITE 160",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201853",
            "telephone_number": "818-476-5656",
            "fax_number": "818-248-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOOT",
        "first_name": "NILESH",
        "middle_name": "HARILAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A94735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.