BISHAL SINHA MD
NPI 1083881932
Hospitalist in San Antonio, TX

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
7330 SAN PEDRO AVE STE 540, SAN ANTONIO, TX 78216(210) 344-2673(210) 344-2649 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Bishal Sinha Md NPPES

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

BISHAL SINHA MD (NPI 1083881932) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (P7856) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1083881932
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBISHAL SINHACredential: MD
Location Address7330 SAN PEDRO AVE STE 540San Antonio, TX 78216-6250
Mailing Address7330 San Pedro Ave., Suite 540San Antonio, TX 78216 · (210) 344-2673 · Fax (210) 344-2649
Fax(210) 344-2649
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 9, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1083881932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · P7856
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License P7856 (TX)
7330 SAN PEDRO AVE STE 540, San Antonio, TX 78216

Other Identifiers 2

Medicaid329662603TX
Other333419ZPA4TX · Medicare

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

Bishal Sinha 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 ID8527126333
PECOS Enrollment IDI20140303001000
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 4

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 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.
700 services289 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
270 services265 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.
144 services144 patients
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.
110 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
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…
100%213 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$14.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$63.99 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 7

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

Psychiatry & Neurology (Neurology)
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Internal Medicine
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Internal Medicine
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Nurse Practitioner (Gerontology)
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Internal Medicine
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Internal Medicine
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216
Internal Medicine
7330 SAN PEDRO AVE STE 540
SAN ANTONIO, TX 78216

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 Bishal Sinha's NPI number?

The NPI number for Bishal Sinha is 1083881932. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Bishal Sinha located?

Bishal Sinha practices at 7330 San Pedro Ave Ste 540, San Antonio, TX 78216. The listed phone number is (210) 344-2673.

What is Bishal Sinha's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Bishal Sinha enrolled in Medicare?

Yes. Bishal Sinha 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 Bishal Sinha accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and WellPoint list Bishal Sinha 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 Bishal Sinha affiliated with any hospitals?

According to CMS data, Bishal Sinha is affiliated with Methodist Hospital, Frio Regional Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Bishal Sinha was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.