BHAVINKUMAR DALAL MD
NPI 1477701878
Internal Medicine - Pulmonary Disease in Royal Oak, MI

Q: What is Bhavinkumar Dalal's NPI number?

The NPI number for Bhavinkumar Dalal is 1477701878. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Q: What is Bhavinkumar Dalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Bhavinkumar Dalal was last updated on July 15, 2022. 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.

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment

80.99/100

CMS Quality Rating

3535 W 13 MILE RD STE 344, ROYAL OAK, MI 48073(248) 551-0497(248) 551-4556 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Bhavinkumar Dalal Md NPPES

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

BHAVINKUMAR DALAL MD (NPI 1477701878) is an individual pulmonary disease provider in Royal Oak, Michigan, licensed in Michigan (4301083952) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1477701878

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameBHAVINKUMAR DALALCredential: MD

Location Address3535 W 13 MILE RD STE 344Royal Oak, MI 48073-6770

Mailing Address130 Town Center Dr, 203Troy, MI 48084-1744 · (248) 585-8265 · Fax (248) 585-8270

Phone(248) 551-0497

Fax(248) 551-4556

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 28, 2008

Last NPPES UpdateJuly 15, 2022

NPPES CertifiedJuly 15, 2022

✔ NPI 1477701878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MI · 4301083952

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301083952 (MI)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301083952 (MI)

3535 W 13 MILE RD STE 344, Royal Oak, MI 48073

Open in Google Maps ↗

Other Identifiers 1

Medicaid00385072MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Bhavinkumar Dalal 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 ID7810028669

PECOS Enrollment IDI20121116000123

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 10

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.

181 services93 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

96 services48 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.

60 services60 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.

49 services44 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.

27 services19 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

80.99/100

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

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

8 suppliers49 claims49 services$30.19 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers42 claims42 services$71.09 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers37 claims89 services$26.53 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers29 claims29 services$43.04 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers43 claims43 services$14.59 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers12 claims12 services$9.24 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 17

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

VISHAL K PATEL MD

Internal Medicine (Pulmonary Disease)