DR. RAVI BHALLA M.D.
NPI 1174512263
Internal Medicine - Rheumatology in Peoria, AZ

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
18.14/100
CMS Quality Rating
13943 N. 91ST AVE, BUILDING I, PEORIA, AZ 85381(623) 815-2690(623) 815-2689 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ravi Bhalla M.d. NPPES

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

DR. RAVI BHALLA M.D. (NPI 1174512263) is an individual rheumatology provider in Peoria, Arizona, licensed in Arizona (22399) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174512263
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RAVI BHALLACredential: M.D.
Location Address13943 N. 91ST AVE, BUILDING IPeoria, AZ 85381-3692
Mailing Address13943 N. 91st Ave, Building IPeoria, AZ 85381-3692 · (623) 815-2690 · Fax (623) 815-2689
Fax(623) 815-2689
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 20, 2005
Last NPPES UpdateJune 1, 2009
NPI 1174512263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in AZ · 22399
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
13943 N. 91ST AVE, Peoria, AZ 85381

Other Identifiers 5

Medicare UPINE58718AZ
Other22399AZ · License
Medicare ID-Type UnspecifiedZ63630AS · Medicare
Medicare PINZ63630AZ
Medicaid172651AZ

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. Ravi Bhalla 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 ID3779577440
PECOS Enrollment IDI20060627000174
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 23

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
93,260 services21 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
26,350 services43 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
24,780 services248 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
24,450 services29 patients
Injection, belimumab, 10 mg J0490
Belimumab injection is a medication used to treat lupus, an autoimmune disease. It works by limiting the activity of specific cells in your immune system that can cause lupus symptoms. This injection is administered under medical supervision.
7,712 services11 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
6,530 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

18.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost60.48

Other Providers at the Same Location NPPES

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

Internal Medicine (Rheumatology)
13943 N. 91ST AVE, BUILDING I
PEORIA, AZ 85381

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 Ravi Bhalla's NPI number?

The NPI number for Ravi Bhalla is 1174512263. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Ravi Bhalla located?

Ravi Bhalla practices at 13943 N. 91st Ave Building I, Peoria, AZ 85381. The listed phone number is (623) 815-2690.

What is Ravi Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ravi Bhalla enrolled in Medicare?

Yes. Ravi 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 Ravi Bhalla accept?

Health plans from Ambetter from Arizona Complete Health, Oscar Health Plan, Inc. and UnitedHealthcare list Ravi 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 Ravi Bhalla was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.