1. Home
  2. Directory
  3. Virginia
  4. Glen Allen
  5. Nurse Practitioner
  6. NPI Profile

KUSUM BHETWAL
NPI 1003422163
Nurse Practitioner - Family in Glen Allen, VA

Active since September 23, 2020PECOS Enrolled
100/100
CMS Quality Rating
12804 WESTIN ESTATES DRIVE, GLEN ALLEN, VA 23059(804) 382-5458 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kusum Bhetwal NPPES

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

KUSUM BHETWAL (NPI 1003422163) is an individual family provider in Glen Allen, Virginia, licensed in Virginia (0024179682) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003422163
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKUSUM BHETWAL
Location Address12804 WESTIN ESTATES DRIVEGlen Allen, VA 23059
Mailing Address12804 Westin Estates DriveGlen Allen, VA 23059 · (804) 382-5458
Phone(804) 382-5458
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1003422163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024179682
12804 WESTIN ESTATES DRIVE, Glen Allen, VA 23059
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kusum Bhetwal 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 Reassignments

2

Medicare enrollment records show Kusum Bhetwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Little Clinic Of VA LLC
7.7 mi
Family
9000 STAPLES MILL RD
Henrico, VA 23228
  • Reassigned Medicare billing, Virginia enrollment
  • 36 clinicians in this Medicare group
NPI 1225440076 (804) 977-9526
Southeastern Physician Services PC
383 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Virginia enrollment
  • 62 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Kusum Bhetwal's NPI number?

The NPI number for Kusum Bhetwal is 1003422163. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Kusum Bhetwal located?

Kusum Bhetwal practices at 12804 Westin Estates Drive, Glen Allen, VA 23059. The listed phone number is (804) 382-5458.

What is Kusum Bhetwal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kusum Bhetwal enrolled in Medicare?

Yes. Kusum Bhetwal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kusum Bhetwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kusum Bhetwal reassigns Medicare benefits to 2 organizations: Little Clinic Of VA LLC (Henrico, VA) and Southeastern Physician Services PC (Oak Ridge, TN). Each 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 Kusum Bhetwal'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 Kusum Bhetwal was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.