1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Obstetrics Gynecology
  6. NPI Profile

DR. VAISHALI BHALANI MD
NPI 1316038003
Obstetrics & Gynecology in Houston, TX

Active since September 27, 2006PECOS Enrolled
7400 FANNIN ST STE 930, HOUSTON, TX 77054(713) 790-1683(713) 790-1686 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Aug 8, 2018 (2 updates tracked since 2018).

About Dr. Vaishali Bhalani Md NPPES

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

DR. VAISHALI BHALANI MD (NPI 1316038003) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (Q4030) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1316038003
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. VAISHALI BHALANICredential: MD
Location Address7400 FANNIN ST STE 930Houston, TX 77054
Mailing Address1801 Binz St, Suite 500Houston, TX 77004-7296 · (713) 522-3333 · Fax (713) 522-4434
Phone(713) 790-1683
Fax(713) 790-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1316038003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · Q4030✔ Licensed in OH · 35094233✔ Licensed in MO · 2007014746
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License Q4030 (TX)
7400 FANNIN ST STE 930, Houston, TX 77054
Open in Google Maps ↗

Other Identifiers 1

Medicaid2990036OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vaishali Bhalani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082676234
PECOS Enrollment IDI20150917000654
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 Vaishali Bhalani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrix Medical Group Of Texas Billing, Inc.
11 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774
Hca Houston Ob Hospitalist, PLLC
180 mi
Obstetrics & Gynecology
3315 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 97 clinicians in this Medicare group
NPI 1144081431 (615) 372-5426
Hospital Medicine Services Of Tx, PLLC
191 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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

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

JUAN CARLOS MEDRANO MD
Obstetrics & Gynecology
7400 FANNIN ST STE 930
HOUSTON, TX 77054
Harris County (713) 797-1100

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 Vaishali Bhalani's NPI number?

The NPI number for Vaishali Bhalani is 1316038003. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Vaishali Bhalani located?

Vaishali Bhalani practices at 7400 Fannin St Ste 930, Houston, TX 77054. The listed phone number is (713) 790-1683.

What is Vaishali Bhalani's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vaishali Bhalani enrolled in Medicare?

Yes. Vaishali Bhalani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vaishali Bhalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaishali Bhalani reassigns Medicare benefits to 3 organizations: Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX), Hca Houston Ob Hospitalist, PLLC (Corpus Christi, TX) and Hospital Medicine Services Of Tx, PLLC (San Antonio, 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 Vaishali Bhalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaishali Bhalani accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company and 1 other insurer list Vaishali Bhalani 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 Vaishali Bhalani was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.