DR. NIRAJ BHALANI DO
NPI 1255838363
Internal Medicine - Gastroenterology in Templeton, CA

Q: What is Niraj Bhalani's NPI number?

The NPI number for Niraj Bhalani is 1255838363. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Niraj Bhalani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Niraj Bhalani was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment

350 POSADA LN STE 202, TEMPLETON, CA 93465(805) 434-5530(805) 434-0023 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2026, Mar 11, 2026, Feb 10, 2020 (3 updates tracked since 2020).

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About Dr. Niraj Bhalani Do NPPES

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

DR. NIRAJ BHALANI DO (NPI 1255838363) is an individual gastroenterology provider in Templeton, California, licensed in California (20A17979) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255838363

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. NIRAJ BHALANICredential: DO

Location Address350 POSADA LN STE 202Templeton, CA 93465-4060

Mailing Address350 Posada Ln Ste 202Templeton, CA 93465-4060 · (805) 434-5530 · Fax (805) 434-0023

Phone(805) 434-5530

Fax(805) 434-0023

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 6, 2018

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1255838363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · 20A17979

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 17979 (CA)

350 POSADA LN STE 202, Templeton, CA 93465

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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. Niraj Bhalani Do 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 ID4486190584

PECOS Enrollment IDI20240725001147

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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 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.

26 services23 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.

16 services16 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.

11 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93465 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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.

Other Providers at the Same Location NPPES 7

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

MRS. KATHRYN POZZI NP-C

Nurse Practitioner (Family)