Individual provider Active NPI

Kalyani Bhuta, MD

  • Surgery Physician
  • Valhalla, NY
National Provider Identifier
1710987375
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
143798 Issued in NY
Practice address
401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326
Phone
(914) 909-3953
NPI assigned
Jul 26, 2005
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 143798 NY Primary

Addresses

Primary practice location

401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326

Mailing address

PO Box 219
Croton on Hudson, NY 10520-0219
Phone (914) 909-3953

Other identifiers 1

IdentifierTypeStateIssuer
00771311MedicaidNY

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
I20040708000244 NY Practitioner - General SurgeryPractitioner - General Practice 1254319239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians and Surgeons, PLLC Surgery Past Accepting new patients
Northeast Surgical Group, PLLC Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kalyani.bhuta@direct.hvhc.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1710987375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105200219",
            "telephone_number": "914-909-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBUS AVE LOWR LEVEL",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951326",
            "telephone_number": "914-909-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUTA",
        "first_name": "KALYANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "143798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00771311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.