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CHARLES BULATHSINGHALA M.D.
NPI 1770875338
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 798-1750(713) 798-4693 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 29, 2022, Apr 8, 2022, Sep 12, 2018 and 1 more (4 updates tracked since 2018).

About Charles Bulathsinghala M.d. NPPES

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

CHARLES BULATHSINGHALA M.D. (NPI 1770875338) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (T6200) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1770875338
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCHARLES BULATHSINGHALACredential: M.D.
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address1504 Taup Loop, 6th Fl., Bcm 620, Harris CountyHouston, TX 77030-1608 · (713) 873-2078
Phone(713) 798-1750
Fax(713) 798-4693
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 13, 2011
Last NPPES UpdateApril 29, 20224 updates tracked since enumeration
NPPES CertifiedApril 16, 2022
✔ NPI 1770875338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in TX · T6200✔ Licensed in PA · MD453930✔ Licensed in LA · 308992
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License T6200 (TX), MT199159 (PA)
1504 TAUB LOOP, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11415 Tulane Ave Fl 4New Orleans, LA 70112-2600 · Phone (504) 988-6113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Charles Bulathsinghala 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 ID4880974112
PECOS Enrollment IDI20220426002690
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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
113 services86 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
103 services98 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
32 services32 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.
27 services22 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
20 services20 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

ZAVEN SARGSYAN MD
Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
KAYE-ANN ANTONETTE CHRISTIE PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
EMILY MARIE WEBSTER PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
DR. MIGUEL A NIETO D.O.
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Harris County (713) 873-7045
DR. LOUIS BRUNO FORNAGE MD
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-3060
DR. MICHELE TROUTMAN GIFFORD MD
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 798-1750
DR. KYLE SUEN M.D.
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
DR. MIYSHA SHAW GIRARDEAU MD, MS
Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (771) 387-3889

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 Charles Bulathsinghala's NPI number?

The NPI number for Charles Bulathsinghala is 1770875338. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Charles Bulathsinghala located?

Charles Bulathsinghala practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Charles Bulathsinghala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Bulathsinghala enrolled in Medicare?

Yes. Charles Bulathsinghala 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 Charles Bulathsinghala accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Texas and 3 other insurers list Charles Bulathsinghala 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 Charles Bulathsinghala affiliated with any hospitals?

According to CMS data, Charles Bulathsinghala is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Charles Bulathsinghala was last updated on April 29, 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.