DR. SAPNA BHATIA M.D.
NPI 1619139813
Internal Medicine - Pulmonary Disease in Henderson, NV

Active since June 28, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2759 SUNRIDGE HEIGHTS PKWY, HENDERSON, NV 89052(725) 755-5864(702) 268-7081 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Feb 4, 2022, Jul 18, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Sapna Bhatia M.d. NPPES

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

DR. SAPNA BHATIA M.D. (NPI 1619139813) is an individual pulmonary disease provider in Henderson, Nevada, licensed in Nevada (16972) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1619139813
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SAPNA BHATIACredential: M.D.
Location Address2759 SUNRIDGE HEIGHTS PKWYHenderson, NV 89052-5046
Mailing Address10170 W Tropicana Ave # 156-315Las Vegas, NV 89147-8465 · (725) 755-5864 · Fax (702) 268-7081
Fax(702) 268-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 28, 2008
Last NPPES UpdateApril 1, 20255 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1619139813 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 NV · 16972
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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 16972 (NV)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 16972 (NV)
2759 SUNRIDGE HEIGHTS PKWY, Henderson, NV 89052

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. Sapna 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 ID5193997922
PECOS Enrollment IDI20170630002350
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 16

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 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.
1,083 services470 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
259 services245 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg J7611
Albuterol is a medication used to treat breathing problems. Administered through a device called a nebulizer, it helps open up the airways in your lungs. This concentrated solution is FDA-approved, non-compounded, and provided in a 1mg dose.
245 services236 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
239 services233 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
237 services228 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
236 services235 patients

Hospital Affiliations CMS Care Compare

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

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
40%360 patients2/55-star benchmark: 96%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
55%31 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,228 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%877 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%250 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
84%286 patients4/55-star benchmark: 88%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
10%584 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
8%360 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
2%584 patients1/55-star benchmark: 99%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
5%132 patients1/55-star benchmark: 99%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 250 patients
0%250 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 22

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
4 suppliers39 claims39 services$36.35 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims28 services$1.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers39 claims39 services$82.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers31 claims86 services$29.74 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers18 claims104 services$15.93 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
6 suppliers35 claims35 services$48.43 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 2

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

Internal Medicine (Pulmonary Disease)
2759 SUNRIDGE HEIGHTS PKWY
HENDERSON, NV 89052
Rehabilitation Practitioner
2759 SUNRIDGE HEIGHTS PKWY
HENDERSON, NV 89052

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 Sapna Bhatia's NPI number?

The NPI number for Sapna Bhatia is 1619139813. It was assigned to this individual provider in the NPPES registry on June 28, 2008.

Where is Sapna Bhatia located?

Sapna Bhatia practices at 2759 Sunridge Heights Pkwy, Henderson, NV 89052. The listed phone number is (725) 755-5864.

What is Sapna Bhatia's specialty?

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

Is Sapna Bhatia enrolled in Medicare?

Yes. Sapna 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.

Is Sapna Bhatia affiliated with any hospitals?

According to CMS data, Sapna Bhatia is affiliated with Mountainview Hospital.

When was this NPI record last updated?

The NPPES record for Sapna Bhatia was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.