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DR. AMIT ISHWAR BHAVAN M.D.
NPI 1104168269
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 26, 2013PECOS Enrolled
8701 W WATERTOWN PLANK RD, DEPARTMENT OF PSYCHIATRY & BEHAVIORAL MEDICINE, MILWAUKEE, WI 53226(414) 955-8998(414) 955-6299 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Amit Ishwar Bhavan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMIT ISHWAR BHAVAN M.D. (NPI 1104168269) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104168269
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AMIT ISHWAR BHAVANCredential: M.D.
Location Address8701 W WATERTOWN PLANK RD, DEPARTMENT OF PSYCHIATRY & BEHAVIORAL MEDICINEMilwaukee, WI 53226-3548
Mailing Address8701 W Watertown Plank Rd, Department Of Psychiatry & Behavioral MedicineMilwaukee, WI 53226-3548 · (414) 955-8998 · Fax (414) 955-6299
Phone(414) 955-8998
Fax(414) 955-6299
Sole ProprietorNo
Enumeration DateMarch 26, 2013
✔ NPI 1104168269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8701 W WATERTOWN PLANK RD, Milwaukee, WI 53226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amit Ishwar Bhavan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amit Bhavan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P
1,735 mi
Psychiatric Hospital
2600 CENTER ST NE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 123 clinicians in this Medicare group
NPI 1508802489 (503) 945-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES VAUGHAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-8296
DR. JACLYN VANDERWAL MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1833
DR. KEONA CHILDS M.D.
Emergency Medicine
8701 W WATERTOWN PLANK RD, MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
JAMES BENJAMIN MORONEY MD
Radiology (Vascular & Interventional Radiology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-6800
JORDAN ROBERT HANRAHAN
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4582
VERONICA QUINTERN PUJOL MD
Internal Medicine
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8218
SARAH J LECAPITAINE MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 955-8296
MRIGANK SHEKHAR GUPTA MD
Internal Medicine (Critical Care Medicine)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amit Bhavan's NPI number?

The NPI number for Amit Bhavan is 1104168269. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Amit Bhavan located?

Amit Bhavan practices at 8701 W Watertown Plank Rd Department Of Psychiatry & Behavioral Medicine, Milwaukee, WI 53226. The listed phone number is (414) 955-8998.

What is Amit Bhavan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amit Bhavan enrolled in Medicare?

Yes. Amit Bhavan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amit Bhavan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amit Bhavan reassigns Medicare benefits to Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amit Bhavan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amit Bhavan was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.