Individual provider Active NPI

Laxmikant Bhoiwala, MD

  • Internal Medicine Physician
  • East Greenbush, NY
National Provider Identifier
1689737744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197789 Issued in NY
Practice address
597 Columbia Tpke
Hannaford Plaza
East Greenbush, NY 12061-1602
Phone
(518) 463-8262
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 197789 NY Primary

Addresses

Primary practice location

597 Columbia Tpke
Hannaford Plaza
East Greenbush, NY 12061-1602

Mailing address

597 Columbia Tpke
Hannaford Plaza
East Greenbush, NY 12061-1602
Phone (518) 463-8262

Other identifiers 1

IdentifierTypeStateIssuer
01575539MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110418000382 NY Practitioner - Internal Medicine 3274717186 Reassigns benefits to 1 organization
Practice locations: East Greenbush, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent and Primary Care PLLCGroup PAC ID 0648454546, 2 clinicians

Practice addresses (Care Compare)

598 Columbia Tpke
East Greenbush, NY 12061-1622
Phone (518) 463-8262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent & Primary Care PLLC Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients

Locations

598 Columbia Tpke
East Greenbush, NY 12061
Phone (518) 463-8262

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 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689737744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 COLUMBIA TPKE",
            "address_2": "HANNAFORD PLAZA",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611602",
            "telephone_number": "518-463-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 COLUMBIA TPKE",
            "address_2": "HANNAFORD PLAZA",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611602",
            "telephone_number": "518-463-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOIWALA",
        "first_name": "LAXMIKANT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01575539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

Verify at the official NPI Registry.