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DR. SANJAY S. BHATIA MD
NPI 1356505192
Hospitalist in El Paso, TX

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5005 N PIEDRAS ST, EL PASO, TX 79920(915) 569-2180(915) 569-1919 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2019, Sep 21, 2016 (2 updates tracked since 2016).

About Dr. Sanjay S. Bhatia Md NPPES

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

DR. SANJAY S. BHATIA MD (NPI 1356505192) is an individual hospitalist provider in El Paso, Texas, licensed in Indiana (01070121A) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1356505192
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SANJAY S. BHATIACredential: MD
Location Address5005 N PIEDRAS STEl Paso, TX 79920-5001
Mailing Address5005 N Piedras StEl Paso, TX 79920-5001 · (915) 569-2180 · Fax (915) 569-1919
Phone(915) 569-2180
Fax(915) 569-1919
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 10, 2008
Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1356505192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 01070121A
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2015-0901 (NM)
5005 N PIEDRAS ST, El Paso, TX 79920
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Secondary Practice Location 1

Location 1801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-2258 · Fax (505) 609-2259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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. Sanjay S. 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 ID2163655697
PECOS Enrollment IDI20190621001634
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 6

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 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.
490 services225 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.
288 services278 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
276 services97 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.
137 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services83 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79920 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%91 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers55 claims61 services$22.96 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
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
3 suppliers60 claims66 services$92.97 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.

WILLIAM BEAUMONT ARMY MEDICAL CENTER
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5005 N PIEDRAS ST, BUILDING 7777
EL PASO, TX 79920
El Paso County (915) 568-1101
JOSEPH W BLACK
Social Worker (Clinical)
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO, TX 79920
El Paso County (915) 742-6382
GLENN BRIAN LAIRD LVN
Licensed Vocational Nurse
5005 N PIEDRAS ST
EL PASO, TX 79920
El Paso County (915) 598-0474
MR. JOSEPH R. BONGIORNO P.A.
Physician Assistant
5005 N PIEDRAS ST
EL PASO, TX 79920
El Paso County (915) 569-1386
DR. WILLIAM S LIM M.D.
Ophthalmology
5005 N PIEDRAS ST, WBAMC OPHTHALMOLOGY CLINIC, 2178
EL PASO, TX 79920
El Paso County (915) 569-4432
MR. PAGE ANTHONY KARSTETER DSCPT
Physical Therapist
5005 N PIEDRAS ST
EL PASO, TX 79920
El Paso County (915) 569-1233
DR. BRIAN RANTALA PHARMD
Pharmacist
5005 N PIEDRAS ST
EL PASO, TX 79920
El Paso County (915) 742-1400
DR. PRATIK NAIK M.D.
Internal Medicine
5005 N PIEDRAS ST
EL PASO, TX 79920
El Paso County (915) 742-2180

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 Sanjay Bhatia's NPI number?

The NPI number for Sanjay Bhatia is 1356505192. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Sanjay Bhatia located?

Sanjay Bhatia practices at 5005 N Piedras St, El Paso, TX 79920. The listed phone number is (915) 569-2180.

What is Sanjay Bhatia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sanjay Bhatia enrolled in Medicare?

Yes. Sanjay 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.

What insurance does Sanjay Bhatia accept?

Health plans from Blue Cross and Blue Shield of Texas list Sanjay 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 Sanjay Bhatia affiliated with any hospitals?

According to CMS data, Sanjay Bhatia is affiliated with Union Hospital Inc and Union Hospital Clinton.

When was this NPI record last updated?

The NPPES record for Sanjay Bhatia was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.