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PUJA J BHAKTA DDS
NPI 1184016933
Oral & Maxillofacial Surgery in Green Bay, WI

Active since March 02, 2015PECOS Enrolled
430 MAIN ST, GREEN BAY, WI 54301(920) 431-0345 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Sep 8, 2021, Feb 26, 2021 (3 updates tracked since 2021).

About Puja J Bhakta Dds NPPES

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

PUJA J BHAKTA DDS (NPI 1184016933) is an individual oral & maxillofacial surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (1001499) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1184016933
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NamePUJA J BHAKTACredential: DDS
Location Address430 MAIN STGreen Bay, WI 54301-5115
Mailing Address11711 W Burleigh StWauwatosa, WI 53222-3196 · (414) 771-2345
Phone(920) 431-0345
Sole ProprietorNo
Enumeration DateMarch 2, 2015
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1184016933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in WI · 1001499
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
430 MAIN ST, Green Bay, WI 54301
Open in Google Maps ↗

Secondary Practice Location 1

Location 12581 Development DrGreen Bay, WI 54311 · Phone (920) 347-0400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Puja J Bhakta Dds 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 Puja Bhakta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Clinic LLP
4.5 mi
Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 clinicians in this Medicare group
NPI 1588609648 (920) 288-8000

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. WILLIAM ARTHUR BRENNAN D.D.S.
Dentist (Periodontics)
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-1745
HASSAN ALSHEHABI
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
DR. HARVEY DENNIS POLING DDS
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
DR. NATALIE R. NEU
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
ZOHRA METALWALA DDS
Dentist
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
DR. LALINDA WICKRAMASINGHE DDS
Dentist
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
DR. STEVEN EDWARD KAMINSKI DDS
Dentist
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345
DR. AMANDA LEA SCOTT D.D.S.
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Brown County (920) 431-0345

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 Puja Bhakta's NPI number?

The NPI number for Puja Bhakta is 1184016933. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Puja Bhakta located?

Puja Bhakta practices at 430 Main St, Green Bay, WI 54301. The listed phone number is (920) 431-0345.

What is Puja Bhakta's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Puja Bhakta enrolled in Medicare?

Yes. Puja Bhakta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Puja Bhakta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Puja Bhakta reassigns Medicare benefits to Baycare Clinic LLP (Green Bay, WI). 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 Puja Bhakta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Puja Bhakta accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dean Health Plan and Delta Dental of Wisconsin, Inc. and 2 other insurers list Puja Bhakta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puja Bhakta was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.