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PAULOMI KADAKIA BHALLA M.D.
NPI 1730317710
Psychiatry & Neurology - Neurology in Pleasanton, CA

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
83.56/100
CMS Quality Rating
5565 W LAS POSITAS BLVD STE 130, PLEASANTON, CA 94588(925) 315-9456 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2021, Sep 24, 2018, Nov 17, 2015 (3 updates tracked since 2015).

About Paulomi Kadakia Bhalla M.d. NPPES

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

PAULOMI KADAKIA BHALLA M.D. (NPI 1730317710) is an individual neurology provider in Pleasanton, California, licensed in California (A155340) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730317710
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePAULOMI KADAKIA BHALLACredential: M.D.
Location Address5565 W LAS POSITAS BLVD STE 130Pleasanton, CA 94588-4001
Mailing Address5565 W Las Positas Blvd Ste 130Pleasanton, CA 94588-4001 · (925) 315-9456
Phone(925) 315-9456
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 29, 2009
Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration
✔ NPI 1730317710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A155340
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT195771 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 265076-1 (NY)
5565 W LAS POSITAS BLVD STE 130, Pleasanton, CA 94588
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Secondary Practice Location 1

Location 115 Cliff St, apt 25FNew York, NY 10038-2859 · Phone (412) 498-5450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paulomi Kadakia Bhalla 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 ID2062714579
PECOS Enrollment IDI20180810003002
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paulomi Bhalla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bay Area Neurointensivists Inc
18 mi
Critical Care Medicine
323 LENNON LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1972149748 (925) 437-8841
El Camino Health Medical Network, LLC
27 mi
Multi-Specialty
828 S WINCHESTER BLVD
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 314 clinicians in this Medicare group
NPI 1164880761 (408) 871-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
119 services117 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.
118 services57 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.
83 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 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.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

83.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost61.45

Other Providers at the Same Location NPPES

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

SONIA ELIZABETH ERICKSON DPM
Podiatrist (Foot Surgery)
5565 W LAS POSITAS BLVD STE 130
PLEASANTON, CA 94588
Alameda County (925) 416-0990

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 Paulomi Bhalla's NPI number?

The NPI number for Paulomi Bhalla is 1730317710. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Paulomi Bhalla located?

Paulomi Bhalla practices at 5565 W Las Positas Blvd Ste 130, Pleasanton, CA 94588. The listed phone number is (925) 315-9456.

What is Paulomi Bhalla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paulomi Bhalla enrolled in Medicare?

Yes. Paulomi Bhalla 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.

Which organizations bill Medicare for Paulomi Bhalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulomi Bhalla reassigns Medicare benefits to 2 organizations: Bay Area Neurointensivists Inc (Walnut Creek, CA) and El Camino Health Medical Network, LLC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paulomi Bhalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paulomi Bhalla was last updated on December 27, 2021. 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.