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ROHINI BAJAJ MD
NPI 1235245804
Internal Medicine - Gastroenterology in Winter Park, FL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
483 N SEMORAN BLVD, #101, WINTER PARK, FL 32792(407) 895-9500(321) 274-0266 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Aug 29, 2016 (2 updates tracked since 2016).

About Rohini Bajaj Md NPPES

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

ROHINI BAJAJ MD (NPI 1235245804) is an individual gastroenterology provider in Winter Park, Florida, licensed in Florida (ME68287) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1235245804
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameROHINI BAJAJCredential: MD
Location Address483 N SEMORAN BLVD, #101Winter Park, FL 32792-3800
Mailing Address483 N Semoran Blvd, #101Winter Park, FL 32792-3800 · (407) 895-9500 · Fax (321) 274-0266
Phone(407) 895-9500
Fax(321) 274-0266
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1235245804 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 FL · ME68287
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.
483 N SEMORAN BLVD, Winter Park, FL 32792
Open in Google Maps ↗

Other Identifiers 2

Other27135FL · Bcbs
Medicaid378091100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Rohini Bajaj 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 ID8820015936
PECOS Enrollment IDI20051115000732
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 6

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.
665 services318 patients
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.
69 services68 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.
45 services45 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.
29 services27 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.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
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.

SAYED T HUSSAIN M.D.
Internal Medicine (Interventional Cardiology)
483 N SEMORAN BLVD, SUITE 102
WINTER PARK, FL 32792
Orange County (407) 645-1847
SCHWARTZ AND PROMES A PROFESSIONAL LIMITED CO
Internal Medicine
483 N SEMORAN BLVD
WINTER PARK, FL 32792
Orange County (407) 644-3866
WOMENS HEALTH AND SURGERY CENTER
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
483 N SEMORAN BLVD, SUITE 205
WINTER PARK, FL 32792
Orange County (497) 215-6321
MARYANNE P EVANS ARNP
Nurse Practitioner (Family)
483 N SEMORAN BLVD, SUITE 102
WINTER PARK, FL 32792
Orange County (407) 645-1847
DR. RAVIPRASAD G SUBRAYA M.D.
Internal Medicine (Interventional Cardiology)
483 N SEMORAN BLVD, STE 102
WINTER PARK, FL 32792
Orange County (407) 645-1847
MICHAEL J BARIMO DO P A
Family Medicine
483 N SEMORAN BLVD, SUITE 206
WINTER PARK, FL 32792
Orange County (407) 678-2400
ERNESTINA KYEI-DONKOR ARNP
Nurse Practitioner
483 N SEMORAN BLVD, STE 102
WINTER PARK, FL 32792
Orange County (407) 645-1847
GUARDIAN INTEGRATED CARE, LLC
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
483 N SEMORAN BLVD, SUITE 205
WINTER PARK, FL 32792
Orange County (407) 215-6340

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 Rohini Bajaj's NPI number?

The NPI number for Rohini Bajaj is 1235245804. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Rohini Bajaj located?

Rohini Bajaj practices at 483 N Semoran Blvd #101, Winter Park, FL 32792. The listed phone number is (407) 895-9500.

What is Rohini Bajaj's specialty?

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

Is Rohini Bajaj enrolled in Medicare?

Yes. Rohini Bajaj 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 Rohini Bajaj accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Wellpoint list Rohini Bajaj 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 Rohini Bajaj affiliated with any hospitals?

According to CMS data, Rohini Bajaj is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Rohini Bajaj was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.