DR. KANTILAL BHALANI MD
NPI 1770688434
Family Medicine in Palm Bay, FL

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1663 GEORGIA ST NE STE 400, PALM BAY, FL 32907(321) 802-9080(321) 802-5211 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 1, 2022, Oct 17, 2018, Apr 30, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Kantilal Bhalani Md NPPES

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

DR. KANTILAL BHALANI MD (NPI 1770688434) is an individual family medicine provider in Palm Bay, Florida, licensed in Florida (ME39710) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1770688434
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KANTILAL BHALANICredential: MD
Location Address1663 GEORGIA ST NE STE 400Palm Bay, FL 32907-2537
Mailing Address1663 Georgia St Ne Ste 500Palm Bay, FL 32907-2589 · (321) 802-9080 · Fax (321) 802-5211
Fax(321) 802-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 1, 20225 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1770688434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME39710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License ME39710 (FL)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME39710 (FL)
1663 GEORGIA ST NE STE 400, Palm Bay, FL 32907

Secondary Practice Location 1

Location 11650 Sand Lake Rd Ste 112AOrlando, FL 32809-7671 · Phone (407) 286-1829 · Fax (407) 286-3291

Other Identifiers 2

Medicaid008258900FL
Other1770688434FL · Npi Number

Accepted 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

Dr. Kantilal Bhalani 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 ID2264421684
PECOS Enrollment IDI20040511000547
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 Kantilal Bhalani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
1663 GEORGIA ST NE STE 400
Palm Bay, FL 32907
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
Community/Behavioral Health
123 S PARK AVE
Titusville, FL 32796
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group

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 11

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 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.
190 services66 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
122 services29 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
68 services11 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.
64 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32907 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

Family Medicine
1663 GEORGIA ST NE STE 400
PALM BAY, FL 32907

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 Kantilal Bhalani's NPI number?

The NPI number for Kantilal Bhalani is 1770688434. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Kantilal Bhalani located?

Kantilal Bhalani practices at 1663 Georgia St NE Ste 400, Palm Bay, FL 32907. The listed phone number is (321) 802-9080.

What is Kantilal Bhalani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kantilal Bhalani enrolled in Medicare?

Yes. Kantilal Bhalani 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 Kantilal Bhalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kantilal Bhalani reassigns Medicare benefits to 2 organizations: Jai Ho LLC (Palm Bay, FL) and Alpha Medical Consulting Inc (Titusville, FL). 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 Kantilal Bhalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kantilal Bhalani accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Kantilal Bhalani 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 Kantilal Bhalani was last updated on November 1, 2022. 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.