POOLAK BHATT MD, DMD
NPI 1235663113
Oral & Maxillofacial Surgery in Fuquay Varina, NC
NPI Status: Active since April 17, 2017
Contact Information
1890 N BROAD ST STE 100
FUQUAY VARINA, NC
ZIP 27526
Phone: (919) 586-8565
- Individual
- Male
- Years of Experience 6
- Oral & Maxillofacial Surgery
- Accepts Medicare Approved Payment
About POOLAK BHATT
This page provides the complete NPI Profile along with additional information for Poolak Bhatt, a provider established in Fuquay Varina, North Carolina with a medical specialization in Oral & Maxillofacial Surgery and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1235663113 assigned on April 2017. The practitioner's primary taxonomy code is 204E00000X with license number 10659 (NC). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1235663113
- Provider Name
- POOLAK BHATT MD, DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1890 N BROAD ST STE 100 FUQUAY VARINA, NC 27526
- Location Phone
- (919) 586-8565
- Mailing Address
- 1 GUTHRIE SQ DEPT OF SAYRE, PA 18840
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-17-2017
- Last Update Date
- 05-23-2025
- Code Navigator
Location Map
Secondary Locations
- 1 Guthrie Sq
Sayre, PA 18840
(570) 888-6666
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10659
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | MD481288 (PA) |
Medicare Participation & PECOS Enrollment Status
Poolak Bhatt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1456638170
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231113002810
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 6 | 6 | 3 | 1 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 12 | 6 | 6 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 2 + 6 + 6 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1235663113 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235663113, enumerated in the NPI registry as an "individual" on April 17, 2017
The provider is located at 1890 N Broad St Ste 100 Fuquay Varina, Nc 27526 and the phone number is (919) 586-8565
The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider has more than 6 years of experience.
This NPI record was last updated on April 17, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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