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

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: August 02, 2026.

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
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

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. 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.

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
Quality80.59
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology (Pain Medicine)
5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536
Internal Medicine (Gastroenterology)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Internal Medicine (Hematology & Oncology)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Physician Assistant
5 PLAINSBORO ROAD, SUITE 450
PLAINSBORO, NJ 08536
Dietitian, Registered
5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536
Nurse Practitioner (Family)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Surgery (Vascular Surgery)
5 PLAINSBORO ROAD, SUITE 400
PLAINSBORO, NJ 08536
Internal Medicine
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536

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.

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 20 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.