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RAJWINDER SINGH BAHIA M.D.
NPI 1467695452
Internal Medicine in Modesto, CA

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment
95.23/100
CMS Quality Rating
4601 DALE RD, MODESTO, CA 95356(209) 735-5000 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, Aug 28, 2018 (2 updates tracked since 2018).

About Rajwinder Singh Bahia M.d. NPPES

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

RAJWINDER SINGH BAHIA M.D. (NPI 1467695452) is an individual internal medicine provider in Modesto, California, licensed in California (A106330) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1467695452
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJWINDER SINGH BAHIACredential: M.D.
Location Address4601 DALE RDModesto, CA 95356
Mailing Address2660 Crimson Canyon Dr Ste 130Las Vegas, NV 89128-0846 · (209) 499-5860 · Fax (702) 453-5741
Phone(209) 735-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 7, 2009
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1467695452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A106330
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4601 DALE RD, Modesto, CA 95356
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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

Rajwinder Singh Bahia 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 ID8729128152
PECOS Enrollment IDI20091216000316
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 6

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
4,100 services382 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
253 services241 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
184 services172 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
61 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

95.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost70.46

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
3 suppliers11 claims330 services$2.54 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers12 claims45 services$3.51 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers17 claims36 services$6.20 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims17 services$2.61 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
3 suppliers14 claims390 services$3.27 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier16 claims16 services$11.86 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.

NATHAN STUEMPFIG D.O.
Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 715-1780
RAYVEN ZHANG
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (916) 856-2837
JAY PATEL
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-5000
BRIAN E. DOLNICK DO
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 557-1000
WEI LOONG GLENN KOH MD
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Stanislaus County (925) 200-1811
DR. JOSHUA MCKEE ANDERSON M.D.
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7200
JOSHUA MICHAEL
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7590
YUECHIAO LIANG PHARM.D.
Pharmacist
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-6950

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 Rajwinder Bahia's NPI number?

The NPI number for Rajwinder Bahia is 1467695452. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Rajwinder Bahia located?

Rajwinder Bahia practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.

What is Rajwinder Bahia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajwinder Bahia enrolled in Medicare?

Yes. Rajwinder Bahia 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 Rajwinder Bahia was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.