Individual provider Active NPI

Hemanth Kumar Bhimasani, M.D.,

  • Psychiatry Physician
  • State College, PA
National Provider Identifier
1801995642
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 424085 Issued in PA
Practice address
321 Lois LN
State College, PA 16801-2561
Phone
(814) 861-3012
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 424085 PA Primary
Psychiatry Physician 2084P0800X 24272 NE

Addresses

Primary practice location

321 Lois LN
State College, PA 16801-2561

Mailing address

321 Lois LN
State College, PA 16801-2561
Phone (814) 861-3012

Other identifiers 3

IdentifierTypeStateIssuer
P00728210OtherRAILROAD MEDICARE
47066229013MedicaidNE
1010400300001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041011000323 PA Practitioner - PsychiatryPractitioner - Addiction Medicine 5193708634 Reassigns benefits to 1 organization
I20241024001049 NC Practitioner - Psychiatry 5193708634 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 424085PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 25, 2016 Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Dec 20, 2017 Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Dec 20, 2017 Accepting new patients
Brynn Marr Hospital Inc Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Wpic Physician Practice Corp Inc Past Accepting new patients

Locations

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1801995642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LOIS LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012561",
            "telephone_number": "814-861-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LOIS LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012561",
            "telephone_number": "814-861-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMASANI",
        "first_name": "HEMANTH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 424085",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "24272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00728210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47066229013",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010400300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.