ROOPAL KUNJAN SHANGHVI BHATT MD
NPI 1649253279
Dermatology in Austin, TX

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6618 SITIO DEL RIO BLVD, BLDG D101, AUSTIN, TX 78730(512) 478-3376(512) 478-3375 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2017, Mar 5, 2016 (2 updates tracked since 2016).

About Roopal Kunjan Shanghvi Bhatt Md NPPES

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

ROOPAL KUNJAN SHANGHVI BHATT MD (NPI 1649253279) is an individual dermatology provider in Austin, Texas, licensed in Texas (M6049) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2001).

NPPES Registry Identity

NPI1649253279
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameROOPAL KUNJAN SHANGHVI BHATTCredential: MD
Location Address6618 SITIO DEL RIO BLVD, BLDG D101Austin, TX 78730-1143
Mailing Address6618 Sitio Del Rio Blvd, Bldg D101Austin, TX 78730-1143 · (512) 478-3376 · Fax (512) 478-3375
Fax(512) 478-3375
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2001
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 4, 20172 updates tracked since enumeration
NPI 1649253279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · M6049
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6618 SITIO DEL RIO BLVD, Austin, TX 78730

Other Identifiers 2

Medicare PIN8F9834TX
Medicare UPINI50344

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

Roopal Kunjan Shanghvi Bhatt 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 ID1557378866
PECOS Enrollment IDI20080201000340
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 17

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,558 services233 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.
432 services326 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
357 services281 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.
247 services179 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
230 services179 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
90 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78730 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
98%1,152 patients4/55-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.

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Primary Care)
6618 SITIO DEL RIO BLVD, SUITE B-101
AUSTIN, TX 78730
Pediatrics
6618 SITIO DEL RIO BLVD, A101
AUSTIN, TX 78730
Pediatrics
6618 SITIO DEL RIO BLVD, A101
AUSTIN, TX 78730
Dermatology
6618 SITIO DEL RIO BLVD, BLDG D101
AUSTIN, TX 78730
Clinic/Center (Dental)
6618 SITIO DEL RIO BLVD, STE B102
AUSTIN, TX 78730
Pediatrics
6618 SITIO DEL RIO BLVD, BUILDING A SUITE 101
AUSTIN, TX 78730
Family Medicine
6618 SITIO DEL RIO BLVD, BLDG. B-101
AUSTIN, TX 78730
Dentist (Pediatric Dentistry)
6618 SITIO DEL RIO BLVD, STE B102
AUSTIN, TX 78730

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 Roopal Bhatt's NPI number?

The NPI number for Roopal Bhatt is 1649253279. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Roopal Bhatt located?

Roopal Bhatt practices at 6618 Sitio Del Rio Blvd Bldg D101, Austin, TX 78730. The listed phone number is (512) 478-3376.

What is Roopal Bhatt's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Roopal Bhatt enrolled in Medicare?

Yes. Roopal Bhatt 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 Roopal Bhatt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Roopal Bhatt 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 Roopal Bhatt was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.