NISHA L BHATIA M.D.
NPI 1598733651
Internal Medicine - Cardiovascular Disease in Peoria, AZ

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
83.61/100
CMS Quality Rating
13460 N 94TH DR STE J1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2019, Jul 10, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Nisha L Bhatia M.d. NPPES

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

NISHA L BHATIA M.D. (NPI 1598733651) is an individual cardiovascular disease provider in Peoria, Arizona, licensed in Arizona (34896) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1598733651
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNISHA L BHATIACredential: M.D.
Location Address13460 N 94TH DR STE J1Peoria, AZ 85381-4246
Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168
Fax(623) 298-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 15, 20195 updates tracked since enumeration
NPI 1598733651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AZ · 34896
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34896 (AZ)
13460 N 94TH DR STE J1, Peoria, AZ 85381

Other Identifiers 3

OtherP00624339AZ · Railroad Medicare
Medicaid221915AZ
OtherZ208887AZ · Medicare

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

Nisha L Bhatia 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 ID1951402114
PECOS Enrollment IDI20070718000698
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 36

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.

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.
1,231 services557 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
846 services534 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
501 services42 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.
396 services52 patients
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.
389 services138 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
336 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

83.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.57
Promoting Interoperability99
Improvement Activities30

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.

Internal Medicine (Cardiovascular Disease)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Nurse Practitioner (Acute Care)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Nurse Practitioner
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Internal Medicine (Interventional Cardiology)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381

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 Nisha Bhatia's NPI number?

The NPI number for Nisha Bhatia is 1598733651. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Nisha Bhatia located?

Nisha Bhatia practices at 13460 N 94th Dr Ste J1, Peoria, AZ 85381. The listed phone number is (623) 876-8816.

What is Nisha Bhatia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nisha Bhatia enrolled in Medicare?

Yes. Nisha Bhatia 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 Nisha Bhatia accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Nisha Bhatia 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.

When was this NPI record last updated?

The NPPES record for Nisha Bhatia was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.