Active NPI
Krishna Bhatt, M.D.
- Neurology Physician
- Manitowoc, WI
National Provider Identifier
1679520332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 24465
- Practice address
- 2300 Western Ave
Manitowoc, WI 54220-3712 - Phone
- (920) 320-3880
- NPI assigned
- May 28, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 24465 | WI | Primary |
Addresses
Primary practice location
2300 Western Ave
Manitowoc, WI 54220-3712
Mailing address
PO Box 2290
Manitowoc, WI 54221-2290
Phone (920) 320-2591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084P0800X | Medicaid | WI | |
| 24465 | Other | WI | LICENSE |
| P00736811 | Other | WI | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1679520332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2290",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542212290",
"telephone_number": "920-320-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WESTERN AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203712",
"telephone_number": "920-320-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATT",
"first_name": "KRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "24465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2084P0800X",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "24465",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00736811",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.