Individual provider Active NPI

Pratiksha Deenesh Bhaleeya, MD

  • Family Medicine Physician
  • Silver City, NM
National Provider Identifier
1700079787
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108822 Issued in FL
Practice address
1302 E 32ND St
Silver City, NM 88061-7215
Phone
(214) 907-2687
Fax
(214) 907-2687
NPI assigned
Aug 22, 2007
Last updated
Jan 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME108822 FL Primary

Addresses

Primary practice location

1302 E 32ND St
Silver City, NM 88061-7215

Mailing address

50 Dey St
Unit # 355
Jersey City, NJ 07306-5149
Phone (214) 907-2687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120327000828 FL Order and Referring Only - Family PracticePractitioner - Family Practice 1153581236

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1700079787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DEY ST",
            "address_2": "UNIT # 355",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065149",
            "telephone_number": "214-907-2687",
            "fax_number": "214-907-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617215",
            "telephone_number": "214-907-2687",
            "fax_number": "214-907-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALEEYA",
        "first_name": "PRATIKSHA",
        "middle_name": "DEENESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.