VARUN BHATIA MD
NPI 1255855995
Family Medicine in Edison, NJ

Q: What is Varun Bhatia's NPI number?

The NPI number for Varun Bhatia is 1255855995. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Varun Bhatia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Varun Bhatia was last updated on April 16, 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.

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment

65 JAMES ST, EDISON, NJ 08820(732) 321-7487 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2021, Aug 2, 2017 (2 updates tracked since 2017).

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About Varun Bhatia Md NPPES

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

VARUN BHATIA MD (NPI 1255855995) is an individual family medicine provider in Edison, New Jersey, licensed in New Jersey (25MA10896400) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255855995

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameVARUN BHATIACredential: MD

Location Address65 JAMES STEdison, NJ 08820-3947

Mailing Address65 James StEdison, NJ 08820-3947

Phone(732) 321-7487

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 2, 2017

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1255855995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA10896400

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

65 JAMES ST, Edison, NJ 08820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Varun Bhatia 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 ID7113345646

PECOS Enrollment IDI20200916000793

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

Medicare enrollment records show Varun Bhatia reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Physicians Of New Jersey PA

Same address

Hospitalist

65 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment
351 clinicians in this Medicare group

NPI 1588021851 (732) 321-7000

Varun Bhatia Corp

3.1 mi

Family Medicine

1311 DURHAM AVE
South Plainfield, NJ 07080

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1134857253 (201) 693-5373

Rutgers Health-Rwj Pediatric Critical Care

6.7 mi

Anesthesiology

125 PATERSON ST STE 5123
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
492 clinicians in this Medicare group

NPI 1063420776 (732) 235-7246

Rwjbh Emergency Medicine Associates, LLC

9.0 mi

Emergency Medicine

3 EXECUTIVE DR, STE 400
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
1,557 clinicians in this Medicare group

NPI 1912510041 (732) 867-9618

Immediate Care Medical Walk-In Of Hazlet, PA

12 mi

Urgent Care

1376 HIGHWAY 36
Hazlet, NJ 07730

Reassigned Medicare billing, New Jersey enrollment
142 clinicians in this Medicare group

NPI 1245595313 (732) 264-5500

Rwjbh Observation Associates LLC

15 mi

Emergency Medicine

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
1,913 clinicians in this Medicare group

NPI 1760095806 (888) 724-7123

Urgent Care Physicians Of New Jersey, LLC

21 mi

Emergency Medicine

46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
160 clinicians in this Medicare group

NPI 1447622402 (973) 630-8947

Excel Men's Health LLC

21 mi

Family Medicine

609 WASHINGTON ST STE 1A
Hoboken, NJ 07030

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1376425637 (201) 266-0548

Live Urgent Care LLC

62 mi

Family Medicine

363 W BROWNING RD UNIT A
Bellmawr, NJ 08031

Reassigned Medicare billing, New Jersey enrollment
46 clinicians in this Medicare group

NPI 1407439870 (856) 333-3616

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

Areas of Expertise CMS Part B claims 22

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,231 services276 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,170 services354 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

816 services167 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

425 services163 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

376 services346 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

319 services151 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

294 services236 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

193 services172 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

169 services114 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

86 services43 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.

66 services66 patients

Detection test by immunoassay technique for influenza virus 87400

An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.

61 services29 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.

54 services39 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

46 services41 patients

Testing of autonomic nervous system function and heart rate response to deep breathing 95921

This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.

42 services42 patients

Testing of autonomic (sympathetic) nervous system function 95923

Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.

42 services42 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.

38 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

32 services21 patients

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.

30 services30 patients

Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807

This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.

25 services23 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

22 services21 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310027

Location225 Williamson StreetElizabeth, NJ 07207 · Union County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers45 claims45 services$60.24 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers44 claims44 services$29.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LAMA EL ZEIN M.D

Family Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7487

MARLINE SPENCER RN, MSN, NP-C

Nurse Practitioner (Gerontology)

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 744-5537

MARIA P MASIH MD

Family Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7487

ASHLEY MARGARITONDO DPT

Physical Therapist

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

MICHAEL D. CALI MD

Emergency Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

STACEY JOU MD

Physical Medicine & Rehabilitation (Brain Injury Medicine)

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7070

MERARI SINGH APN

Nurse Practitioner

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

COMMUNITY HOSPITAL GROUP INC

Psychologist

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 632-1571

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 Varun Bhatia's NPI number?

The NPI number for Varun Bhatia is 1255855995. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Varun Bhatia located?

Varun Bhatia practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7487.

What is Varun Bhatia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Varun Bhatia enrolled in Medicare?

Yes. Varun Bhatia 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.

Which organizations bill Medicare for Varun Bhatia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Varun Bhatia reassigns Medicare benefits to 9 organizations: Hospitalist Physicians Of New Jersey PA (Edison, NJ), Varun Bhatia Corp (South Plainfield, NJ), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ) and 4 more organizations, listed in the Medicare section above. 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 Varun Bhatia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Varun Bhatia accept?

Health plans from Oscar Health list Varun Bhatia 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 Varun Bhatia affiliated with any hospitals?

According to CMS data, Varun Bhatia is affiliated with Trinitas Regional Medical Center, Cooperman Barnabas Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Varun Bhatia was last updated on April 16, 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.