ABHISHEK BHURWAL MD
NPI 1184011991
Internal Medicine - Gastroenterology in Brunswick, GA

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
71.88/100
CMS Quality Rating
3217 4TH ST, BRUNSWICK, GA 31520(912) 466-4200 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abhishek Bhurwal Md NPPES

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

ABHISHEK BHURWAL MD (NPI 1184011991) is an individual gastroenterology provider in Brunswick, Georgia, licensed in Georgia (90398) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184011991
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameABHISHEK BHURWALCredential: MD
Location Address3217 4TH STBrunswick, GA 31520-3759
Mailing Address3217 4th StBrunswick, GA 31520-3759
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2015
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
NPI 1184011991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in GA · 90398
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3217 4TH ST, Brunswick, GA 31520

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Abhishek Bhurwal 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 ID1052706561
PECOS Enrollment IDI20220321000666
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 12

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 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.
82 services81 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.
72 services72 patients
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.
63 services62 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.
51 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 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.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

71.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.34
Promoting Interoperability100
Improvement Activities40
Cost58.94

Other Providers at the Same Location NPPES 10

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

Physician Assistant
3217 4TH ST
BRUNSWICK, GA 31520
Nurse Practitioner
3217 4TH ST
BRUNSWICK, GA 31520
Nurse Practitioner
3217 4TH ST
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3217 4TH ST
BRUNSWICK, GA 31520
Internal Medicine (Gastroenterology)
3217 4TH ST
BRUNSWICK, GA 31520
Internal Medicine (Gastroenterology)
3217 4TH ST
BRUNSWICK, GA 31520
Internal Medicine (Gastroenterology)
3217 4TH ST
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3217 4TH ST
BRUNSWICK, GA 31520

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 Abhishek Bhurwal's NPI number?

The NPI number for Abhishek Bhurwal is 1184011991. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Abhishek Bhurwal located?

Abhishek Bhurwal practices at 3217 4th St, Brunswick, GA 31520. The listed phone number is (912) 466-4200.

What is Abhishek Bhurwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abhishek Bhurwal enrolled in Medicare?

Yes. Abhishek Bhurwal 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 Abhishek Bhurwal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Abhishek Bhurwal 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 Abhishek Bhurwal affiliated with any hospitals?

According to CMS data, Abhishek Bhurwal is affiliated with Southeast Georgia Health System- Brunswick Campus and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Abhishek Bhurwal was last updated on August 4, 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.