Sivakumar Bhaktavatsala

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038521 Issued in NY

Practice address

8845 19TH Ave
Brooklyn, NY 11214-6008

Phone

(718) 449-9819

NPI assigned

Jan 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Universal Pain Management,PC

  • Interventional Pain Medicine Physician
  • Astoria, NY
  • NPI 1548545841

  Physical Therapist

  Medicare reassignment NPD
• Universal Pain Management,PC

  • Physical Therapist
  • Astoria, NY
  • NPI 1699152934
  NPD (past)

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1760956718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COTTAGE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063823",
            "telephone_number": "201-830-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146008",
            "telephone_number": "718-449-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTAVATSALA",
        "first_name": "SIVAKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naresh Ranjan Bhagroo, RPH
• Sarah Seerani Bhagudas
• Devendra Bhagwandin, MBBS
• Aakanksha Keshav Bhagwat, PT
• Shyamali Bhakta, MD
• Dedipya Praphulla Sree Sai Bhamidipati
• Manjeet Singh Bhamra, M.D.
• Rohan Bhan
• Sagar Bhandari, MD
• Sonal Bhandari, MD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.