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ANITA BHALLA MD
NPI 1013983790
Internal Medicine - Infectious Disease in Lakewood, OH

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
15000 MADISON AVE, LAKEWOOD, OH 44107(216) 472-1404(216) 529-7806 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anita Bhalla Md NPPES

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

ANITA BHALLA MD (NPI 1013983790) is an individual infectious disease provider in Lakewood, Ohio, licensed in Ohio (35078416B) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1013983790
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameANITA BHALLACredential: MD
Location Address15000 MADISON AVELakewood, OH 44107
Mailing Address20525 Center Ridge Road, Suite 220Rocky River, OH 44116 · (440) 895-5042 · Fax (440) 333-2935
Phone(216) 472-1404
Fax(216) 529-7806
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 23, 2009
✔ NPI 1013983790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35078416B
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
15000 MADISON AVE, Lakewood, OH 44107
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Other Identifiers 12

Medicare PINP00212399
Medicare PIN4127425
Medicare PIN4127426
OtherC78416Summacare Apex
Other9273172OH · Group Medicare Ptan
Medicare UPINI02040
Other7007606Aetna
Other000000593931OH · Anthem
Other000000342372Anthem
Other9200381United Healthcare
Medicaid2488099OH
Other0119204OH · Medicaid Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anita Bhalla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072500628
PECOS Enrollment IDI20040427000862
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
876 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
224 services154 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services100 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Lutheran Hospital

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360087
Location1730 West 25th StreetCleveland, OH 44113 · Cuyahoga County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44107 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GASAN NEMR MD
Internal Medicine
15000 MADISON AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 221-7642
MOURAD EL-GAZZAR MD
Internal Medicine
15000 MADISON AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 227-9964
PRASADARAO KONDAPALLI MD
Internal Medicine
15000 MADISON AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 227-1595
ANGELO M BARILE M.D.
Internal Medicine
15000 MADISON AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 227-9964

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 Anita Bhalla's NPI number?

The NPI number for Anita Bhalla is 1013983790. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Anita Bhalla located?

Anita Bhalla practices at 15000 Madison Ave, Lakewood, OH 44107. The listed phone number is (216) 472-1404.

What is Anita Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Anita Bhalla enrolled in Medicare?

Yes. Anita Bhalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anita Bhalla accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Anita Bhalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anita Bhalla affiliated with any hospitals?

According to CMS data, Anita Bhalla is affiliated with Fairview Hospital, Lutheran Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Anita Bhalla was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.