Individual provider Active NPI

Mahesh H. Bhaya, M.D.

  • Otolaryngology Physician
  • Waterbury, CT
National Provider Identifier
1649211038
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
041488 Issued in CT
Practice address
21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone
(203) 574-3777
Fax
(203) 755-1708
NPI assigned
Jun 9, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 041488 CT Primary

Addresses

Primary practice location

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013

Mailing address

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone (203) 574-3777

Other identifiers 1

IdentifierTypeStateIssuer
001414888MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050331000555 CT Practitioner - Otolaryngology 6800843061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21 W Main St
1 Exchange Place BLDG 3Rd Floor
Waterbury, CT 06702-2016
Phone (203) 574-3777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. Otolaryngology CurrentSince Aug 4, 2003 Accepting new patients

Locations

1 Pomperaug Office Park
Ste 204
Southbury, CT 06488
Phone (203) 264-2909

360 N Main St
Ste 9
Southington, CT 06489
Phone (860) 621-7389

360 N Main St
Ste 1
Southington, CT 06489
Phone (860) 276-0422

21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777

Interoperability endpoints

  • Direct secure messaging: mbhaya@direct.wtbyhosp.org

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.

Hospital & facility affiliations 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1649211038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-755-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-755-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAYA",
        "first_name": "MAHESH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "041488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414888",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.