NILAYA BABU BHAWSAR DO
NPI 1265507461
Psychiatry & Neurology - Neurology in Bloomfield, NJ
About Nilaya Babu Bhawsar Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NILAYA BABU BHAWSAR DO (NPI 1265507461) is an individual neurology provider in Bloomfield, New Jersey, licensed in New York (240960-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Nilaya Babu Bhawsar 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.
Medicare Billing Reassignment
Medicare enrollment records show Nilaya Bhawsar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley Heights, NJ 07922
- Reassigned Medicare billing, New Jersey enrollment
- 1,184 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJCooperman Barnabas Medical Center
Acute Care Hospitals · Livingston, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nilaya Bhawsar's NPI number?
The NPI number for Nilaya Bhawsar is 1265507461. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Nilaya Bhawsar located?
Nilaya Bhawsar practices at 230 Sherman Ave., Bloomfield, NJ 07003. The listed phone number is (973) 743-9555.
What is Nilaya Bhawsar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Nilaya Bhawsar enrolled in Medicare?
Yes. Nilaya Bhawsar 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 organization bills Medicare for Nilaya Bhawsar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilaya Bhawsar reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Nilaya Bhawsar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilaya Bhawsar accept?
Health plans from Oscar Health list Nilaya Bhawsar 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 Nilaya Bhawsar affiliated with any hospitals?
According to CMS data, Nilaya Bhawsar is affiliated with Hackensack Meridian Health, Mountainside Medical and Cooperman Barnabas Medical Center.
When was this NPI record last updated?
The NPPES record for Nilaya Bhawsar was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Nilaya Babu Bhawsar, DO · NPI 1265507461
Neurology physician in Bloomfield, New Jersey. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1265507461 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 240960-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 SHERMAN AVE., Bloomfield, NJ 07003
- **Phone:** (973) 743-9555 · **Fax:** (973) 743-7663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Summit Medical Group PA (NPI 1942254347, Berkeley Heights, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2002
## Record status
- **NPPES last updated:** July 18, 2007
- **Other identifiers:** Medicaid 00246075 (NY); Medicare ID-Type Unspecified 00330128 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1265507461) · Data from the CMS NPPES public registry.