DR. SHEETAL MANVAR BHALANI MD
NPI 1356520704
Radiology - Diagnostic Radiology in Atlanta, GA

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-6323(404) 303-3747 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sheetal Manvar Bhalani Md NPPES

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

DR. SHEETAL MANVAR BHALANI MD (NPI 1356520704) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Georgia (74541) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1356520704
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SHEETAL MANVAR BHALANICredential: MD
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342
Mailing Address5605 Glenridge Dr Ste 325Atlanta, GA 30342-1365 · (678) 553-7783 · Fax (678) 553-7794
Fax(404) 303-3747
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2007
Enumeration DateNovember 1, 2007
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1356520704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 74541
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1000 JOHNSON FERRY RD, Atlanta, GA 30342

Secondary Practice Location 1

Location 1250 E Superior St, Room 4-2304Chicago, IL 60611-2914 · Phone (312) 472-0436

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. Sheetal Manvar Bhalani 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 ID8729228523
PECOS Enrollment IDI20151215000082
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 10

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
974 services974 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
689 services689 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
344 services344 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
167 services165 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
122 services120 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
81 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%754 patients
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.

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.

Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Adult Health)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Family)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiology
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiology
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiology
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342

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 Sheetal Bhalani's NPI number?

The NPI number for Sheetal Bhalani is 1356520704. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Sheetal Bhalani located?

Sheetal Bhalani practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-6323.

What is Sheetal Bhalani's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sheetal Bhalani enrolled in Medicare?

Yes. Sheetal Bhalani 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 Sheetal Bhalani affiliated with any hospitals?

According to CMS data, Sheetal Bhalani is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Sheetal Bhalani was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.