Active NPI
Beenish Sohail Bhutta, M.D.
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
National Provider Identifier
1972348803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MT231924
- Practice address
- 550 University Blvd
Indianapolis, IN 46202 - Phone
- (888) 484-3258
- NPI assigned
- Jul 1, 2024
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT231924 | PA | Primary |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202
Mailing address
3440 N. Board Street Department of Nephrology
Kresge Building, Ste 100 West
Philadelphia, PA 19140
Phone (215) 707-7937
Other practice location 1
1701 N. Senate Blvd.
Indianapolis, IN 46202
Phone (888) 484-3258
Other practice location 2
IU School of Medicine 950 W. Walnut Street
Indianapolis, IN 46202
Phone (317) 944-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT231924 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1972348803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 N. BOARD STREET DEPARTMENT OF NEPHROLOGY",
"address_2": "KRESGE BUILDING, STE 100 WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-707-7937",
"fax_number": "215-707-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "888-484-3258"
}
],
"practiceLocations": [
{
"address_1": "1701 N. Senate Blvd.",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46202",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "IU School of Medicine 950 W. Walnut Street",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46202",
"country_code": "US",
"telephone_number": "317-944-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHUTTA",
"first_name": "BEENISH",
"middle_name": "SOHAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT231924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.