Individual provider Active NPI

Gul K Sahetya, MD

  • Pulmonary Disease Physician
  • Bowling Green, KY
National Provider Identifier
1922025535
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20935 Issued in KY
Practice address
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone
(270) 796-8000
Fax
(270) 796-9328
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 20935 KY Primary

Addresses

Primary practice location

427 US 31W Byp
Bowling Green, KY 42101-1703

Mailing address

PO Box 90039
Bowling Green, KY 42102-9039
Phone (270) 796-8000

Other identifiers 2

IdentifierTypeStateIssuer
000000050060OtherANTHEM
64209356MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000093 KY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7012902026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Management Services PSC Current Accepting new patients
K G Sahetya PSC Current Accepting new patients
Physician Management Services PSC PastSince Sep 19, 1996 Accepting new patients

Locations

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000

1573 KY Highway 259 N
Brownsville, KY 42210
Phone (270) 259-3035

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Associates in Physician ServicesBrownsville, KY, CCN 183877 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) Nov 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1922025535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90039",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029039",
            "telephone_number": "270-796-8000",
            "fax_number": "270-796-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011703",
            "telephone_number": "270-796-8000",
            "fax_number": "270-796-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHETYA",
        "first_name": "GUL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "20935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209356",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.