Bhavansa Padmanabha, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

109999 Issued in NY

Practice address

3407 Delaware Ave
Kenmore, NY 14217-1421

Phone

(716) 876-6170

Fax

(716) 876-6170

NPI assigned

Feb 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Syracuse Chiropractic PC

  • Chiropractor
  • Akron, NY
  • NPI 1851524987
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841264587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171421",
            "telephone_number": "716-876-6170",
            "fax_number": "716-876-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171421",
            "telephone_number": "716-876-6170",
            "fax_number": "716-876-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHA",
        "first_name": "BHAVANSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "109999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1704020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLCROSS",
            "identifier": "000503393001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Osiadlo, M.A., CCC-SLP
• Rebecca Molly Oster, OTR/L
• Ashley Ott
• Megan Overlan, DPT
• Leanne Therese Pacer-Nieman
• Kristie Palazzo
• Rose Theresa Palazzo, P.A.
• Anne Palcic, COTA/L
• Cheryl A Palermo, OTR/L
• Maria Palumbo, MS OTR/L

• Surgery Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.