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UTPAL S BHALALA MD
NPI 1255604104
Pediatrics - Pediatric Critical Care Medicine in San Antonio, TX

Active since February 22, 2012PECOS Enrolled
1533 S BROWNLEE BLVD STE 100, SAN ANTONIO, TX 78207(361) 884-2242 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Jan 20, 2016 (2 updates tracked since 2016).

About Utpal S Bhalala Md NPPES

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

UTPAL S BHALALA MD (NPI 1255604104) is an individual pediatric critical care medicine provider in San Antonio, Texas, licensed in Texas (Q6733) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255604104
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameUTPAL S BHALALACredential: MD
Location Address1533 S BROWNLEE BLVD STE 100San Antonio, TX 78207-3154
Mailing Address1533 S Brownlee Blvd Ste 100Corpus Christi, TX 78404-3131 · (361) 884-2242
Phone(361) 884-2242
Sole ProprietorNo
Enumeration DateFebruary 22, 2012
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1255604104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in TX · Q6733
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1533 S BROWNLEE BLVD STE 100, San Antonio, TX 78207
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Other Names 1

Other Name (5)Pal Bhalala Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utpal S Bhalala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Utpal Bhalala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
1.7 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030
Amistad Community Health Center Incorporated
132 mi
Federally Qualified Health Center (FQHC)
1533 S. BROWNLEE BLVD., STE. 100
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 36 clinicians in this Medicare group
NPI 1386770147 (361) 884-2242
Children's Physician Services Of South Texas
135 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

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

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 Utpal Bhalala's NPI number?

The NPI number for Utpal Bhalala is 1255604104. It was assigned to this individual provider in the NPPES registry on February 22, 2012. The provider is also known as Pal Bhalala MD.

Where is Utpal Bhalala located?

Utpal Bhalala practices at 1533 S Brownlee Blvd Ste 100, San Antonio, TX 78207. The listed phone number is (361) 884-2242.

What is Utpal Bhalala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Utpal Bhalala enrolled in Medicare?

Yes. Utpal Bhalala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Utpal Bhalala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Utpal Bhalala reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (San Antonio, TX), Amistad Community Health Center Incorporated (Corpus Christi, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). 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 Utpal Bhalala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Utpal Bhalala accept?

Health plans from Blue Cross and Blue Shield of Texas list Utpal Bhalala 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 Utpal Bhalala was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.