DR. ANSHU BHALLA MD
NPI 1366502163
Family Medicine - Geriatric Medicine in Plainsboro, NJ

Q: What is Anshu Bhalla's NPI number?

The NPI number for Anshu Bhalla is 1366502163. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Anshu Bhalla's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Anshu Bhalla was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment

89.32/100

CMS Quality Rating

5 PLAINSBORO ROAD, SUITE 275, PLAINSBORO, NJ 08536(609) 954-3084(609) 860-5288 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Anshu Bhalla Md NPPES

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

DR. ANSHU BHALLA MD (NPI 1366502163) is an individual geriatric medicine provider in Plainsboro, New Jersey, licensed in New Jersey (25MA08180400) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1366502163

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameDR. ANSHU BHALLACredential: MD

Location Address5 PLAINSBORO ROAD, SUITE 275Plainsboro, NJ 08536-1915

Mailing Address5 Plainsboro Road, Medical Arts Pavilion, Suite 300Plainsboro, NJ 08536-1915 · (609) 954-3084

Phone(609) 954-3084

Fax(609) 860-5288

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 11, 2006

Last NPPES UpdateNovember 13, 2024

NPPES CertifiedNovember 13, 2024

✔ NPI 1366502163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in NJ · 25MA08180400

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MA08180400 (NJ)

5 PLAINSBORO ROAD, Plainsboro, NJ 08536

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Anshu Bhalla 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 ID7719989821

PECOS Enrollment IDI20070202000089

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

Medicare enrollment records show Anshu Bhalla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Healthcare Affiliated Physicians PC

Same address

Internal Medicine

5 PLAINSBORO ROAD, SUITE 300
Plainsboro, NJ 08536

Reassigned Medicare billing, New Jersey enrollment
249 clinicians in this Medicare group

NPI 1518194323 (609) 853-7272

Clinical Health Care Associates Of New Jersey, PC

11 mi

Otolaryngology

719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844

Reassigned Medicare billing, New Jersey enrollment
793 clinicians in this Medicare group

NPI 1962977249 (908) 271-2102

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 3

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.

86 services29 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

70 services24 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

89.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers20 claims48 services$6.42 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims13 services$1.16 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.

DR. DANIELLE LEVIN MD

Anesthesiology (Pain Medicine)

5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (732) 447-6552

GARY P FORESTER M.D.

Internal Medicine (Gastroenterology)

5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7272

DAVID B SOKOL M.D.

Internal Medicine (Hematology & Oncology)

5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7272

PATRICK STEPHEN MINOGUE PA-C

Physician Assistant

5 PLAINSBORO ROAD, SUITE 450
PLAINSBORO, NJ 08536

Middlesex County (609) 853-6390

NICOLE MAY DETLET RD

Dietitian, Registered

5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 785-5870

DANIELLE JULIA HILL CRNP

Nurse Practitioner (Family)

5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7272

DR. ELLIOT BRETT SAMBOL M.D.

Surgery (Vascular Surgery)

5 PLAINSBORO ROAD, SUITE 400
PLAINSBORO, NJ 08536

Middlesex County (609) 936-9100

PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC

Internal Medicine

5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7272

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 Anshu Bhalla's NPI number?

The NPI number for Anshu Bhalla is 1366502163. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Anshu Bhalla located?

Anshu Bhalla practices at 5 Plainsboro Road Suite 275, Plainsboro, NJ 08536. The listed phone number is (609) 954-3084.

What is Anshu Bhalla's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Anshu Bhalla enrolled in Medicare?

Yes. Anshu Bhalla 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 organizations bill Medicare for Anshu Bhalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anshu Bhalla reassigns Medicare benefits to 2 organizations: Princeton Healthcare Affiliated Physicians PC (Plainsboro, NJ) and Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ). 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 Anshu Bhalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anshu Bhalla accept?

Health plans from Oscar Health list Anshu Bhalla 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 Anshu Bhalla was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.