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RAHUL BHALLA MD
NPI 1730826900
General Practice in Clermont, FL

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
17075 CAGAN RIDGE BLVD STE 100, CLERMONT, FL 34714(863) 588-4775(863) 422-7664 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Jun 17, 2025, May 18, 2022 (3 updates tracked since 2022).

About Rahul Bhalla Md NPPES

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

RAHUL BHALLA MD (NPI 1730826900) is an individual general practice provider in Clermont, Florida, licensed in Florida (ME173109) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Heart Of Florida, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730826900
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRAHUL BHALLACredential: MD
Location Address17075 CAGAN RIDGE BLVD STE 100Clermont, FL 34714-9619
Mailing AddressPo Box 878Davenport, FL 33836-0878 · (689) 223-3898 · Fax (689) 223-3898
Phone(863) 588-4775
Fax(863) 422-7664
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 18, 2022
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1730826900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME173109
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME173109 (FL), 125.079765 (IL)
17075 CAGAN RIDGE BLVD STE 100, Clermont, FL 34714
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 Roe AveElmira, NY 14905-1629 · Phone (607) 737-4100
Location 2106 Park Place Blvd Ste CDavenport, FL 33837-6868 · Phone (863) 588-4775 · Fax (863) 422-7664

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

Rahul Bhalla 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 ID9931580503
PECOS Enrollment IDI20251120004511
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.

Hospital Affiliations CMS Care Compare

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

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

JULIUS DAVID MOORE JR. M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
17075 CAGAN RIDGE BLVD STE 100
CLERMONT, FL 34714
Lake County (863) 588-4775
SHAHZINAH NADEEM MD
Internal Medicine
17075 CAGAN RIDGE BLVD STE 100
CLERMONT, FL 34714
Lake County (863) 588-4775
SONI FAMILY PRACTICE, PLLC
Family Medicine
17075 CAGAN RIDGE BLVD STE 100
CLERMONT, FL 34714
Lake County (863) 588-4775
CESAR JAVIER RIVERA COLLET APRN
Nurse Practitioner (Family)
17075 CAGAN RIDGE BLVD STE 100
CLERMONT, FL 34714
Lake County (863) 588-4775

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 Rahul Bhalla's NPI number?

The NPI number for Rahul Bhalla is 1730826900. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Rahul Bhalla located?

Rahul Bhalla practices at 17075 Cagan Ridge Blvd Ste 100, Clermont, FL 34714. The listed phone number is (863) 588-4775.

What is Rahul Bhalla's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rahul Bhalla enrolled in Medicare?

Yes. Rahul 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.

Is Rahul Bhalla affiliated with any hospitals?

According to CMS data, Rahul Bhalla is affiliated with Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Rahul Bhalla was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.