Individual provider Active NPI

Krimish Bhagat, PA

  • Physician Assistant
  • Salem, NH
National Provider Identifier
1760001770
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
159 N Broadway
Salem, NH 03079-2136
Phone
(603) 893-4119
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Hampstead Family Medicine Inc 30 clinicians

Practice addresses (Care Compare)

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

Hospital & facility affiliations

  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Merit-based Incentive Payment System (MIPS)

Final score
21.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.62

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220302001162 NH Practitioner - Physician Assistant 3678967924 Reassigns benefits to 2 organizations
I20240518000030 MA Practitioner - Physician Assistant 3678967924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kbhagat@omgl-nh.direct.office.nextgen.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

159 N Broadway
Salem, NH 03079-2136

Mailing address

159 N Broadway
Salem, NH 03079-2136
Phone (603) 893-4119

Other practice location 1

6967 Sessions Dr
San Jose, CA 95119-1335
Phone (209) 445-4542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2021.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1760001770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792136",
            "telephone_number": "603-893-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792136",
            "telephone_number": "603-893-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6967 Sessions Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191335",
            "country_code": "US",
            "telephone_number": "209-445-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAGAT",
        "first_name": "KRIMISH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.