ZUBIN BHESANIA M.D.
NPI 1457425670
Surgery in Port Huron, MI

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
26.01/100
CMS Quality Rating
1522 PINE GROVE AVE, SUITE C, PORT HURON, MI 48060(810) 987-3556(810) 987-5090 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zubin Bhesania M.d. NPPES

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

ZUBIN BHESANIA M.D. (NPI 1457425670) is an individual surgery provider in Port Huron, Michigan, licensed in Michigan (4301063455) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1457425670
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameZUBIN BHESANIACredential: M.D.
Location Address1522 PINE GROVE AVE, SUITE CPort Huron, MI 48060-3382
Mailing Address1522 Pine Grove Ave, Suite CPort Huron, MI 48060-3382 · (810) 987-3556 · Fax (810) 987-5090
Fax(810) 987-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457425670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301063455
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1522 PINE GROVE AVE, Port Huron, MI 48060

Other Identifiers 7

Other7365010Aetna
Medicare UPING99394MI
Medicare ID-Type UnspecifiedG46300004MI
Other126890Care Choice
OtherMI0003435Champus Tricare
Other0740158MI · Bcbs
OtherG99394Hap

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

Zubin Bhesania M.d. 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 ID7810025988
PECOS Enrollment IDI20100824000038
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 12

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
406 services137 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
102 services95 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services43 patients
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.
48 services36 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

26.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost86.71

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$8.43 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 5

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

Surgery
1522 PINE GROVE AVE, SUITE C
PORT HURON, MI 48060
Audiologist
1522 PINE GROVE AVE, SUITE A
PORT HURON, MI 48060
Surgery
1522 PINE GROVE AVE, SUITE C
PORT HURON, MI 48060
Specialist/Technologist
1522 PINE GROVE AVE, SUITE A
PORT HURON, MI 48060
Audiologist
1522 PINE GROVE AVE, SUITE A
PORT HURON, MI 48060

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 Zubin Bhesania's NPI number?

The NPI number for Zubin Bhesania is 1457425670. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Zubin Bhesania located?

Zubin Bhesania practices at 1522 Pine Grove Ave Suite C, Port Huron, MI 48060. The listed phone number is (810) 987-3556.

What is Zubin Bhesania's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Zubin Bhesania enrolled in Medicare?

Yes. Zubin Bhesania 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 Zubin Bhesania accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Zubin Bhesania 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 Zubin Bhesania affiliated with any hospitals?

According to CMS data, Zubin Bhesania is affiliated with Lake Huron Medical Center and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Zubin Bhesania was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.