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Active NPI 1215060090 Individual Practitioner Male Practitioner

Michael B Bautista , PA-C

Physician Assistant • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Michael Bautista, PA-C is a registered healthcare professional specializing in Physician Assistant in Flushing, NY. Practice services are available at 5645 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5645 Main St

Flushing, NY 113555045

Telephone 7186702007
Associated Practice Facility / Clinic
🏢 Booth Medical Associates Pc Facility NPI 1912996703

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
282 Specialists

Practicing in Flushing, NY (15701 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 005701

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jenny Jin , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1194170209

Doctor of Medicine (M.D.)

NPI 1346869278

Doctor of Medicine (M.D.)

Sandra Hodge

Clinical Nurse Specialist - Neonatal

NPI 1710339247
Dr. Eli Koenig , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1902867765

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2014

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 7186702007)

📍
Updated Business Mailing Address January 03, 2014

Registered at 235 WALTON ST, WEST HEMPSTEAD, NY 115523027 (Tel: 5164810242)

👤
Provider Name / Credentials Updated January 03, 2014

Recorded as MICHAEL BAUTISTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Physician Assistant (License #005701 in NY)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215060090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: December 27, 2022
Sole Proprietor: No

Mailing Address

235 Walton St

West Hempstead, NY 115523027

Phone: 5164810242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.