BHAVNA BALI
NPI 1437681541
Internal Medicine - Addiction Medicine in Athens, GA

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
1270 PRINCE AVE # 70, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bhavna Bali NPPES

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

BHAVNA BALI (NPI 1437681541) is an individual addiction medicine provider in Athens, Georgia, licensed in Pennsylvania (MD471706) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437681541
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameBHAVNA BALI
Location Address1270 PRINCE AVE # 70Athens, GA 30606-2762
Mailing Address500 University DriveHershey, PA 17033-2360 · (800) 243-1455
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 29, 2017
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1437681541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in PA · MD471706
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1270 PRINCE AVE # 70, Athens, GA 30606

Accepted 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

Bhavna Bali 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 ID5890191373
PECOS Enrollment IDI20210908003457, I20230209001715
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.

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE # 70
ATHENS, GA 30606
Internal Medicine
1270 PRINCE AVE # 70
ATHENS, GA 30606

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 Bhavna Bali's NPI number?

The NPI number for Bhavna Bali is 1437681541. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Bhavna Bali located?

Bhavna Bali practices at 1270 Prince Ave # 70, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Bhavna Bali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Bhavna Bali enrolled in Medicare?

Yes. Bhavna Bali 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 Bhavna Bali accept?

Health plans from Providence Health Plan and UnitedHealthcare list Bhavna Bali 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 Bhavna Bali affiliated with any hospitals?

According to CMS data, Bhavna Bali is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Bhavna Bali was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.