Active NPI
Hemanth Kumar Bhimasani, M.D.,
- Psychiatry Physician
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD 424085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00728210 | Other | RAILROAD MEDICARE | |
| 47066229013 | Medicaid | NE | |
| 1010400300001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041011000323 | PA | Practitioner - Psychiatry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD 424085 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Pennsylvania Psychiatric Institute | Current | Accepting new patients | |
| Pennsylvania Psychiatric Institute | Current | Accepting new patients | |
| Brynn Marr Hospital Inc | Psychiatry | Current | 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.
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- NPI 1205242609
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- Methadone Clinic
- Harrisburg, PA
- NPI 1245760743
-
- Psychologist
- Harrisburg, PA
- NPI 1881829976
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1356319313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.