Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bhavanadhar Penta, MD

Individual provider Interventional Cardiology Physician · NPI 1669171781

Dr. Bhavanadhar Penta, MD is an Interventional Cardiology in New York, New York. Qualified in 2008, 18 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1190 5th Ave
New York, NY 10029-6503
Phone: (212) 427-1540
Fax: (212) 410-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 427-1540

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 336927 (NY)

Record details

NPI number1669171781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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