1. Home
  2. Directory
  3. Iowa
  4. West Burlington
  5. Internal Medicine
  6. NPI Profile

RUCHIE BHATTARAI M.D
NPI 1760915375
Internal Medicine in West Burlington, IA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1221 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 768-3471 Get Directions Write a Review

NPPES record last updated: February 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2021, Nov 5, 2020, May 15, 2020 and 1 more (4 updates tracked since 2017).

About Ruchie Bhattarai M.d NPPES

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

RUCHIE BHATTARAI M.D (NPI 1760915375) is an individual internal medicine provider in West Burlington, Iowa, licensed in Illinois (036151750) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1760915375
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRUCHIE BHATTARAICredential: M.D
Location Address1221 S GEAR AVEWest Burlington, IA 52655-1679
Mailing Address2913 N Commonwealth AveChicago, IL 60657-6211 · (773) 883-2800
Phone(319) 768-3471
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 10, 2017
Last NPPES UpdateFebruary 21, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2021
✔ NPI 1760915375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036151750
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036151750 (IL)
1221 S GEAR AVE, West Burlington, IA 52655
Open in Google Maps ↗

Secondary Practice Location 1

Location 12913 N Commonwealth AveChicago, IL 60657-6211 · Phone (773) 883-2800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Ruchie Bhattarai 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 ID7113358482
PECOS Enrollment IDI20200521000286, I20210722002824
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

3

Medicare enrollment records show Ruchie Bhattarai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Iowa Regional Medical Center, Inc.
Same address
General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1164433884 (319) 768-3626
Methodist Medical Center Of Illinois
83 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230
Carle Health Medical Group
163 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 6

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.

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.
640 services227 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
196 services183 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.
116 services63 patients
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.
73 services73 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.
63 services63 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$18.66 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$8.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$109.41 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 20

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

MS. SHEVANI UVENI GANESH M.D
Psychiatry & Neurology (Psychosomatic Medicine)
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
RACHEL CROOKS
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
SOUTHEAST IOWA ANESTHESIA PLC
Anesthesiology
1221 S GEAR AVE
W BURLINGTON, IA 52655
Des Moines County (319) 768-1000
HALEY HINES PA-C
Physician Assistant
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 329-5752
DR. SIVA GADDE M.D.,
Hospitalist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3471
JILL ANN NEALEY
Occupational Therapist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 850-0281
VIVIAN ANDERSON
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
MARK WALZ CRNA
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000

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 Ruchie Bhattarai's NPI number?

The NPI number for Ruchie Bhattarai is 1760915375. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Ruchie Bhattarai located?

Ruchie Bhattarai practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-3471.

What is Ruchie Bhattarai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ruchie Bhattarai enrolled in Medicare?

Yes. Ruchie Bhattarai 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 Ruchie Bhattarai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruchie Bhattarai reassigns Medicare benefits to 3 organizations: Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA), Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Ruchie Bhattarai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruchie Bhattarai accept?

Health plans from Medica list Ruchie Bhattarai 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.

Is Ruchie Bhattarai affiliated with any hospitals?

According to CMS data, Ruchie Bhattarai is affiliated with Methodist Medical Center Of Illinois and Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ruchie Bhattarai was last updated on February 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.