DR. NIRALI BHATT MD
NPI 1174758791
Ophthalmology - Uveitis and Ocular Inflammatory Disease in Philadelphia, PA

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3801 FILBERT ST, PHILADELPHIA, PA 19104(215) 662-8100 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nirali Bhatt Md NPPES

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

DR. NIRALI BHATT MD (NPI 1174758791) is an individual uveitis and ocular inflammatory disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451480) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of George Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1174758791
Entity TypeIndividualFemale
Primary Taxonomy207WX0108X
Provider Legal NameDR. NIRALI BHATTCredential: MD
Location Address3801 FILBERT STPhiladelphia, PA 19104
Mailing Address3801 Filbert StPhiladelphia, PA 19104 · (215) 662-8100
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateApril 11, 2018
NPI 1174758791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Uveitis and Ocular Inflammatory DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207WX0108X
License Licensed in PA · MD451480
Definition
An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.
Also ListedOphthalmologyTaxonomy 207W00000X · License FB4571457 (PA)
3801 FILBERT ST, Philadelphia, PA 19104

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. Nirali Bhatt 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 ID5698991859
PECOS Enrollment IDI20140723002232
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.

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.
78 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services18 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology (Glaucoma Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Cornea and External Diseases Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Neuro-ophthalmology)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Surgery
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3801 FILBERT ST
PHILADELPHIA, PA 19104

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 Nirali Bhatt's NPI number?

The NPI number for Nirali Bhatt is 1174758791. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Nirali Bhatt located?

Nirali Bhatt practices at 3801 Filbert St, Philadelphia, PA 19104. The listed phone number is (215) 662-8100.

What is Nirali Bhatt's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Uveitis and Ocular Inflammatory Disease, with taxonomy code 207WX0108X.

Is Nirali Bhatt enrolled in Medicare?

Yes. Nirali 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.

What insurance does Nirali Bhatt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nirali 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.

Is Nirali Bhatt affiliated with any hospitals?

According to CMS data, Nirali Bhatt is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Nirali Bhatt was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.