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DIVYESH R BHAKTA MD NPI 1083640528


NPI Information

NPI: 1083640528
Provider Name: DIVYESH R BHAKTA, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
6420 DUTCHMANS PKWY
SUITE 200
LOUISVILLE, KY
ZIP 40205
Phone: (502) 891-8300
Get Directions

Divyesh R Bhakta, MD is an interventional cardiology internal medicine in Louisville, KY with 30 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Divyesh R Bhakta, MD NPI is 1083640528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1994

The provider's business location address is:

6420 DUTCHMANS PKWY
SUITE 200
LOUISVILLE, KY
ZIP 40205-372
Phone: (502) 891-8300
Fax: (502) 891-8338

The NPI 1083640528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 1/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease31873KENTUCKYNo
2207RI0011XInternal MedicineInterventional Cardiology31873KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
164036544MEDICAIDKENTUCKY
2P00893023OTHERKENTUCKYRAILROAD MEDICARE - NCVA
350000584OTHERKENTUCKYPASSPORT PIN
42442264000OTHERKENTUCKYPASSPORT ADVANTAGE
5200423300AMEDICAIDINDIANA
6000057058YOTHERKENTUCKYHUMANA - NCVA
7000000290262OTHERKENTUCKYANTHEM PIN
8000000693029OTHERKENTUCKYANTHEM - NCVA
9200423300FMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.