Organization Active NPI

Kulwant Singh Bhangoo MD PC

  • Plastic Surgery Physician
  • Buffalo, NY
National Provider Identifier
1811293467
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
120905 Issued in NY
Legal business name
KULWANT SINGH BHANGOO MD PC
Practice address
4 Cazenovia St
Buffalo, NY 14220-1706
Phone
(716) 826-4800
NPI assigned
Jan 31, 2011
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Kulwant S Bhangoo, MDNPI 1023112018
Title
President
Phone
(716) 826-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 120905 NY Primary

Addresses

Primary practice location

4 Cazenovia St
Buffalo, NY 14220-1706

Mailing address

4 Cazenovia St
Buffalo, NY 14220-1706
Phone (716) 826-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514001990 NY Part B Supplier - Clinic/Group Practice 6608050372 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1811293467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201706",
            "telephone_number": "716-826-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201706",
            "telephone_number": "716-826-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULWANT SINGH BHANGOO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BHANGOO",
        "authorized_official_first_name": "KULWANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-826-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "120905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.