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DR. BHUPENDRA MANILAL TOLIA M.D.
NPI 1508866567
Urology in Bronx, NY

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
2426 EASTCHESTER RD, STE 212, BRONX, NY 10469(718) 228-0063(718) 228-0066 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bhupendra Manilal Tolia M.d. NPPES

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

DR. BHUPENDRA MANILAL TOLIA M.D. (NPI 1508866567) is an individual urology provider in Bronx, New York, licensed in New York (111622) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1962).

NPPES Registry Identity

NPI1508866567
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BHUPENDRA MANILAL TOLIACredential: M.D.
Location Address2426 EASTCHESTER RD, STE 212Bronx, NY 10469-5950
Mailing Address1500 Route 112 Bldg 4Port Jefferson Station, NY 11776-8055 · (631) 751-3000 · Fax (631) 509-6559
Phone(718) 228-0063
Fax(718) 228-0066
Sole ProprietorYes
Medical School CMSOtherGraduated 1962
Enumeration DateJuly 29, 2005
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1508866567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 111622
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2426 EASTCHESTER RD, Bronx, NY 10469
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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

Dr. Bhupendra Manilal Tolia 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 ID6406878958
PECOS Enrollment IDI20101026000735
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 11

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
143 services94 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.
139 services89 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
106 services83 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
76 services66 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.
74 services63 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
65 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

DYNAMIC HEALTHCARE CENTER, LLC
Chiropractor
2426 EASTCHESTER RD, SUITE 100
BRONX, NY 10469
Bronx County (347) 843-6230
DR. MARCIA M MORGAN MD
Internal Medicine
2426 EASTCHESTER RD, STE 204
BRONX, NY 10469
Bronx County (718) 231-6547
DR. OLIVE C OSBORNE M.D.
Ophthalmology
2426 EASTCHESTER RD, SUITE 203
BRONX, NY 10469
Bronx County (718) 708-7142
DR. NEREIDA CORREA MD
Obstetrics & Gynecology
2426 EASTCHESTER RD, SUITE 208
BRONX, NY 10469
Bronx County (718) 708-5650
AVIV MEDICAL CARE PC
Internal Medicine
2426 EASTCHESTER RD, SUITE 212
BRONX, NY 10469
Bronx County (718) 653-7100
MARCIA M. MORGAN, M.D.P.C.
Internal Medicine
2426 EASTCHESTER RD, 2ND FLOOR SUITE 204
BRONX, NY 10469
Bronx County (718) 231-7872
NY CARDIAC CARE ASSOCIATES, LLP
Internal Medicine (Cardiovascular Disease)
2426 EASTCHESTER RD, SUITE 202
BRONX, NY 10469
Bronx County (718) 708-5470
DR. ALAN ROSS MD
Emergency Medicine (Pediatric Emergency Medicine)
2426 EASTCHESTER RD, SUITE 208
BRONX, NY 10469
Bronx County (718) 708-5650

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 Bhupendra Tolia's NPI number?

The NPI number for Bhupendra Tolia is 1508866567. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Bhupendra Tolia located?

Bhupendra Tolia practices at 2426 Eastchester Rd Ste 212, Bronx, NY 10469. The listed phone number is (718) 228-0063.

What is Bhupendra Tolia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Bhupendra Tolia enrolled in Medicare?

Yes. Bhupendra Tolia 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 Bhupendra Tolia was last updated on January 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.