Nilesh Harilal Bhoot, M.D.
Individual provider Active NPI Surgery Physician · Montrose, CA
NPI 1639345705 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1639345705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- A94735 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Glendale Mem Hospital & HLTH Center
- Usc Verdugo Hills Hospital
- Glendale Adventist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 14 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090822000123 | CA | Practitioner - General Surgery | 9931253119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhoot Surgical Inc | Surgery | Current |
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) 248-0088
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A94735 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9419340 | Medicaid | CA |
Other providers in Montrose, CA
- Edwin O Barawid
- Amy Wakabayashi Becker
- Kate Alivia Bera
- Bhoot Surgical Inc
- Naina Bhoot
- Bliss Home Health Care, Inc.
- Blue Seas Travel LLC
- Linda Bonilla
- Mary Bothwell
- Debra Renee Bowden-Sierra
All providers in Montrose, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.