HELI BHATT M.D.
NPI 1144660598
Pediatrics - Pediatric Gastroenterology in Madison, WI

Active since June 30, 2013PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 915-0480 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Feb 8, 2021, Aug 26, 2019 and 1 more (4 updates tracked since 2016).

About Heli Bhatt M.d. NPPES

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

HELI BHATT M.D. (NPI 1144660598) is an individual pediatric gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (87757-20) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1144660598
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameHELI BHATTCredential: M.D.
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2013
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1144660598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WI · 87757-20
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 2019023012 (MO)
600 HIGHLAND AVE, Madison, WI 53792

Secondary Practice Locations 3

Location 1909 Fulton St SEMinneapolis, MN 55455-4800 · Phone (612) 672-7422
Location 2705 Riley Hospital Dr, ROC 4210Indianapolis, IN 46202-5109 · Phone (317) 944-3774
Location 31 CHILDRENS PL CB 8116St Louis, MO 63110-1002 · Phone (314) 454-6173 · Fax (314) 454-2412

Accepted 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

Heli Bhatt 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 ID2961791074
PECOS Enrollment IDI20200721001413
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

5

Medicare enrollment records show Heli Bhatt reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 20

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

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 Heli Bhatt's NPI number?

The NPI number for Heli Bhatt is 1144660598. It was assigned to this individual provider in the NPPES registry on June 30, 2013.

Where is Heli Bhatt located?

Heli Bhatt practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 915-0480.

What is Heli Bhatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Heli Bhatt enrolled in Medicare?

Yes. Heli Bhatt 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 Heli Bhatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heli Bhatt reassigns Medicare benefits to 5 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Fairview Express Care (Woodbury, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and University Of Minnesota Physicians (Minneapolis, MN). 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 Heli Bhatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heli Bhatt accept?

Health plans from Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz list Heli Bhatt 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 Heli Bhatt was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.