Mahendra Bhuyan, M.B.B.S, MD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R5972 Issued in MO

Practice address

400 Fountain Lake Blvd.
Pracs Institute
St. Charles, MO 63301-0518

Phone

(636) 947-1200

Fax

(636) 723-5888

NPI assigned

Oct 17, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Saint Luke'S Hospital of Trenton

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1811240773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOUNTAIN LAKE BLVD.",
            "address_2": "PRACS INSTITUTE",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633010518",
            "telephone_number": "636-947-1200",
            "fax_number": "636-723-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOUNTAIN LAKE BLVD.",
            "address_2": "PRACS INSTITUTE",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633010518",
            "telephone_number": "636-947-1200",
            "fax_number": "636-723-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUYAN",
        "first_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S, MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Leigh Bethmann, LPC
• Better Than Before Therapy
• Bev Fingerhood, LTD
• Eyerusalem Beyene, PMHNP-BC
• Varun B Bhan, PHARMD
• Julia Biayi
• Edward Clark Bickmeyer, D.C.
• Julia Kristina Ann Bietsch
• Randy Lee Biggerstaff, ATC
• Christina Billups

• Internal Medicine Physician in St. Charles, MO
• Providers in St. Charles, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.