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DR. AMITA SHIMPI BHALLA MD
NPI 1043252448
Internal Medicine - Sleep Medicine in Houston, TX

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
13009 GULF COMMERCE DR STE 100, HOUSTON, TX 77034(713) 943-2800(713) 943-2800 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Amita Shimpi Bhalla Md NPPES

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

DR. AMITA SHIMPI BHALLA MD (NPI 1043252448) is an individual sleep medicine provider in Houston, Texas, licensed in Texas (M3388) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043252448
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameDR. AMITA SHIMPI BHALLACredential: MD
Location Address13009 GULF COMMERCE DR STE 100Houston, TX 77034-1576
Mailing Address13009 Gulf Commerce Dr Ste 100Houston, TX 77034-1576 · (713) 943-2800 · Fax (713) 943-2801
Phone(713) 943-2800
Fax(713) 943-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1043252448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in TX · M3388
Definition
An Internist 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.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License M3388 (TX)
13009 GULF COMMERCE DR STE 100, Houston, TX 77034
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Other Names 1

Other Name (5)Dr. Amita V Bhalla Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, 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

Dr. Amita Shimpi 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 ID1951312743
PECOS Enrollment IDI20060508000806
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 2

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.

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.
46 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77034 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers61 claims61 services$32.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers35 claims35 services$70.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers40 claims100 services$27.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers28 claims132 services$14.64 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers14 claims83 services$12.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers42 claims42 services$39.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KARAN S BHALLA MD PLLC
Registered Nurse (Cardiac Rehabilitation)
13009 GULF COMMERCE DR STE 100
HOUSTON, TX 77034
Harris County (713) 943-2800

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 Amita Shimpi Bhalla's NPI number?

The NPI number for Amita Shimpi Bhalla is 1043252448. It was assigned to this individual provider in the NPPES registry on June 11, 2006. The provider is also known as Dr. Amita V Bhalla MD.

Where is Amita Shimpi Bhalla located?

Amita Shimpi Bhalla practices at 13009 Gulf Commerce Dr Ste 100, Houston, TX 77034. The listed phone number is (713) 943-2800.

What is Amita Shimpi Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Amita Shimpi Bhalla enrolled in Medicare?

Yes. Amita Shimpi 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 Amita Shimpi Bhalla accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, UnitedHealthcare and WellPoint list Amita Shimpi 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.

When was this NPI record last updated?

The NPPES record for Amita Shimpi Bhalla was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.