BILAL SAULAT M.D., NPI 1013081702
Psychiatry & Neurology - Neurology in Reading, PA

About BILAL SAULAT M.D.,

Bilal Saulat is a provider established in Reading, Pennsylvania and his medical specialization is Psychiatry & Neurology with a focus in neurology with more than 26 years of experience. The NPI number of Bilal Saulat is 1013081702 and was assigned on November 2006. The practitioner's primary taxonomy code is 2084N0400X with license number MD456024 (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1013081702
Provider Name BILAL SAULAT M.D.,
Location Address301 S 7TH AVE SUITE 210 READING, PA 19611
Location Phone(484) 628-4656
Mailing AddressPO BOX 13579 READING, PA 19612
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date11-17-2006
Last Update Date03-08-2016

Bilal Saulat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Bilal Saulat is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Reading Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: care plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.93 for a new patient copayment and $25.4 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.MD456024
License StatePA
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

BILAL SAULAT M.D.,
301 S 7TH AVE
SUITE 210
READING, PA
ZIP 19611
Phone: (484) 628-4656
Fax: (484) 628-4657

Get Directions


Mailing Address

BILAL SAULAT M.D.,
PO BOX 13579
READING, PA
ZIP 19612
Phone: (484) 628-0796
Fax: (484) 334-7026


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3577752286
PECOS Enrollment IDI20151030000151
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.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 19611 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.02 $174.05 $131.75
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.25 $43.51 $32.93
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.59 $142.08 $101.62
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.39 $35.52 $25.4

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 75
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 74.6
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 91.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 26% 61
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bilal Saulat is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
READING HOSPITAL420 S 5TH AVENUE
WEST READING, PA 19611
(610) 988-8000Acute Care Hospitals390044

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine125-046979ILNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

22084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineD0069838MDNo

Taxonomy Description: a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

32084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyJ00214174ALNo

Taxonomy Description: a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

42084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyD0069838MDNo

Taxonomy Description: a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

52084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineD0069838MDNo

Taxonomy Description: a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
446488MEDICARE PIN (08)PA
103060177MEDICAID (05)PA

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.
1013081702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 7 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013081702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839693DR. RON D. NUTTING M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)301 S 7TH AVE STE 1120
WEST READING, PA 19611
(610) 374-5000
1942203344DR. MARSHALL M. FEASTER M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)301 S 7TH AVE STE 1120
WEST READING, PA 19611
(610) 374-5000
1659373975DR. BERNARD J. O'NEILL M.D.
Individual
Psychiatry & Neurology (Neurology)301 S 7TH AVE STE 320
WEST READING, PA 19611
(610) 988-4656
1891799243 GERARD L. HELINEK M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-5982
1346244720 JOSEPH W. BURKE M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8044
1750386306 JOHN E. CARLSON M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8925
1013912666 GAIL A. LUECKE M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8108
1659376200 ELIZABETH O'NEILL-RICE M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8108
1194720748 BRENT J. WAGNER M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8919
1003811654 RANDALL S. WINN M.D.
Individual
Specialist301 S 7TH AVE STE 135
WEST READING, PA 19611
(610) 988-8929
1366440513 JOHN MICHAEL PENTA MD
Individual
Otolaryngology301 S 7TH AVE SUITE 305
WEST READING, PA 19611
(610) 376-6990
1356342836MRS. SARA J WILHELM PA
Individual
Physician Assistant301 S 7TH AVE STE 3220
WEST READING, PA 19611
(610) 376-8671
1003817545MR. TIMOTHY W MYERS PT
Individual
Physical Therapist301 S 7TH AVE STE 3220
WEST READING, PA 19611
(610) 376-8671
1548262355DR. STEPHEN C LONGENECKER MD
Individual
Orthopaedic Surgery301 S 7TH AVE SUITE 3220
WEST READING, PA 19611
(610) 376-8671
1235121252MRS. KAREN S STEHMAN PA C
Individual
Physician Assistant301 S 7TH AVE STE 3220
WEST READING, PA 19611
(610) 376-8671
1740273861 WAYNE CALVIN DEVOS MD, PHD
Individual
Colon & Rectal Surgery301 S 7TH AVE SUITE 100
WEST READING, PA 19611
(610) 375-6001
1871586925 VINCENT JOHN MOFFITT MD
Individual
Pediatrics301 S 7TH AVE STE 3170
WEST READING, PA 19611
(610) 374-4491
1063405165 FRANK MOULTON CARTER MD
Individual
Colon & Rectal Surgery301 S 7TH AVE SUITE 100
WEST READING, PA 19611
(610) 375-6001
1336132323BERKS COLORECTAL SURGICAL ASSOCIATES
Organization
Colon & Rectal Surgery301 S 7TH AVE SUITE 100
WEST READING, PA 19611
(610) 375-6001
1063403251DR. MICHAEL ANTHONY ROMEO DO
Individual
Radiology (Diagnostic Radiology)301 S 7TH AVE STE. 135
WEST READING, PA 19611
(610) 988-8936

Frequently Asked Questions

What is Bilal Saulat M.D., NPI number?

The NPI number assigned to Bilal Saulat M.D., is 1013081702, registered as an "individual" on November 17, 2006

Where is Bilal Saulat M.D., located?

The provider is located at 301 S 7th Ave Suite 210 Reading, Pa 19611 and the phone number is (484) 628-4656

Which is Bilal Saulat M.D., specialty?

The provider's speciality is Psychiatry & Neurology with a focus in Neurology

How many years of experience does Bilal Saulat M.D., have?

The provider has more than 26 years of experience.

What insurance does Bilal Saulat M.D., accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Bilal Saulat M.D., registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Bilal Saulat M.D.,?

Medicare beneficiaries should expect a typical cost of $131.75 with an average copayment of $32.93 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Bilal Saulat M.D., affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: READING HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Bilal Saulat M.D., was last updated on November 17, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]