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

Q: 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.

Q: What is Bal Bhandari's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bal Bhandari was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment

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: November 01, 2026.

On this page

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

Phone(318) 283-2177

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

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Other Identifiers 1

Medicaid1665836LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Bal Bhandari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morehouse Community Medical Centers, Inc.

0.5 mi

Family Medicine

314 N FRANKLIN ST
Bastrop, LA 71220

Reassigned Medicare billing, Louisiana enrollment
67 clinicians in this Medicare group

NPI 1053373191 (318) 283-8887

Morehouse Parish Hospital Service District 1

0.6 mi

Multi-Specialty

425 S VINE ST
Bastrop, LA 71220

Reassigned Medicare billing, Louisiana enrollment
24 clinicians in this Medicare group

NPI 1891013496 (318) 283-3960

Hospital Service District No 1-A Of The Parish Of Richland State Of La

33 mi

Critical Access Hospital

407 CINCINNATI ST
Delhi, LA 71232

Reassigned Medicare billing, Louisiana enrollment
Medicare enrollment name: Hospital Service District No 1a Of The Parish Of Richland State Of La
Also billed through NPI 1336109768 (Louisiana)
57 clinicians in this Medicare group

NPI 1851317911 (318) 878-5171

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

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

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

75 services74 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

67 services67 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

57 services54 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services49 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

44 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services33 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

30 services30 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

25 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

17 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services11 patients

Replacement of stomach stoma tube 43762

A replacement of a stomach stoma tube is a procedure where your existing tube is removed and a new one is inserted. This helps ensure the tube functions properly, allowing nutrition directly into your stomach. It's a safe, routine process done by healthcare professionals.

13 services11 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 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

Quality

81.18

Improvement Activities

Cost

38.27

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.

MARIBETH GAMBILL APN

Nurse Practitioner (Family)

616 S WASHINGTON ST
BASTROP, LA 71220

Morehouse Parish (318) 283-3990

GASTROENTEROLOGY & NUTRITIONAL MEDICAL SERVICES

Specialist

616 S WASHINGTON ST
BASTROP, LA 71220

Morehouse Parish (318) 283-2177

JESSICA PACK APRN

Nurse Practitioner (Family)

616 S WASHINGTON ST
BASTROP, LA 71220

Morehouse Parish (318) 283-3990

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.

Which organizations bill Medicare for Bal Bhandari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bal Bhandari reassigns Medicare benefits to 3 organizations: Morehouse Community Medical Centers, Inc. (Bastrop, LA), Morehouse Parish Hospital Service District 1 (Bastrop, LA) and Hospital Service District No 1-A Of The Parish Of Richland State Of La (Delhi, LA). 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 Bal Bhandari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bal Bhandari accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Arkansas Blue Cross and Blue Shield and 5 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.