Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BAL RAJ BHANDARI M.D.
NPI 1063473494
Specialist in Bastrop, LA

Active since March 28, 2006PECOS Enrolled
76.34/100
CMS Quality Rating
616 S WASHINGTON ST, BASTROP, LA 71220(318) 283-2177(318) 283-2251 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bal Raj Bhandari M.d. NPPES

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

DR. BAL RAJ BHANDARI M.D. (NPI 1063473494) is an individual specialist in Bastrop, Louisiana, licensed in Louisiana (11414R) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1063473494
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. BAL RAJ BHANDARICredential: M.D.
Location Address616 S WASHINGTON STBastrop, LA 71220-5035
Mailing Address616 S Washington StBastrop, LA 71220-5035 · (318) 283-2177 · Fax (318) 283-2251
Fax(318) 283-2251
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1063473494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in LA · 11414R
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

616 S WASHINGTON ST, Bastrop, LA 71220

Other Identifiers 1

Medicaid1665836LA

Accepted 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. Bal Raj Bhandari M.d. 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 ID7618010661
PECOS Enrollment IDI20100622000314
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 19

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
236 services226 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.
221 services182 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
187 services187 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
148 services145 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
118 services99 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.
82 services82 patients

Hospital Affiliations CMS Care Compare 4

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

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Monroe Surgical Hospital

Acute Care Hospitals · Monroe, LA
OwnershipProprietary
CMS Certification Number190245
Location2408 Broadmoor BlvdMonroe, LA 71201 · Ouachita County

Richland Parish Hospital-Delhi

Critical Access Hospitals · Delhi, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191323
Location407 Cincinnati StreetDelhi, LA 71232 · Richland County
Emergency services

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.

76.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.18
Improvement Activities40
Cost38.27

Reported Quality Measures

Breast Cancer Screening
7%460 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
79%947 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
55%380 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,247 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%601 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%1,227 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,401 patients1/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 634 patients
Patients totalRate: 0% · 634 patients
0%634 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
616 S WASHINGTON ST
BASTROP, LA 71220
Specialist
616 S WASHINGTON ST
BASTROP, LA 71220
Nurse Practitioner (Family)
616 S WASHINGTON ST
BASTROP, LA 71220

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 Bal Bhandari's NPI number?

The NPI number for Bal Bhandari is 1063473494. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Bal Bhandari located?

Bal Bhandari practices at 616 S Washington St, Bastrop, LA 71220. The listed phone number is (318) 283-2177.

What is Bal Bhandari's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bal Bhandari enrolled in Medicare?

Yes. Bal Bhandari 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 Bal Bhandari accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Health Advantage and Octave and 1 other insurer list Bal Bhandari 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 Bal Bhandari affiliated with any hospitals?

According to CMS data, Bal Bhandari is affiliated with Morehouse General Hospital, St Francis Medical Center, Monroe Surgical Hospital and Richland Parish Hospital-Delhi.

When was this NPI record last updated?

The NPPES record for Bal Bhandari was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.