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DR. AMIT BHARGAVA MD
NPI 1306096698
Internal Medicine - Endocrinology, Diabetes & Metabolism in Modesto, CA

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4601 DALE RD, MODESTO, CA 95356(209) 470-2896 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2025, Oct 8, 2020, Jul 11, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Amit Bhargava Md NPPES

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

DR. AMIT BHARGAVA MD (NPI 1306096698) is an individual endocrinology, diabetes & metabolism provider in Modesto, California, licensed in California (A159320) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306096698
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. AMIT BHARGAVACredential: MD
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address17723 Griswold CtLathrop, CA 95330-8460 · (860) 281-2009
Phone(209) 470-2896
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 24, 2008
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1306096698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A159320
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4601 DALE RD, Modesto, CA 95356
Open in Google Maps ↗

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. Amit Bhargava 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 ID1355646266
PECOS Enrollment IDI20160301001192, I20250221000332
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.

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.
296 services161 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.
100 services40 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
38 services28 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.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers13 claims165 services$16.71 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers13 claims390 services$2.19 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers57 claims248 services$6.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers26 claims59 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers27 claims27 services$305.67 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers11 claims1,620 services$6.98 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.

NATHAN STUEMPFIG D.O.
Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 715-1780
RAYVEN ZHANG
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (916) 856-2837
JAY PATEL
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-5000
BRIAN E. DOLNICK DO
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 557-1000
WEI LOONG GLENN KOH MD
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Stanislaus County (925) 200-1811
DR. JOSHUA MCKEE ANDERSON M.D.
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7200
JOSHUA MICHAEL
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7590
YUECHIAO LIANG PHARM.D.
Pharmacist
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-6950

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 Amit Bhargava's NPI number?

The NPI number for Amit Bhargava is 1306096698. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Amit Bhargava located?

Amit Bhargava practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 470-2896.

What is Amit Bhargava's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Amit Bhargava enrolled in Medicare?

Yes. Amit Bhargava 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.

Is Amit Bhargava affiliated with any hospitals?

According to CMS data, Amit Bhargava is affiliated with Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Amit Bhargava was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.