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GAJENDRA BHAM
NPI 1780363499
Internal Medicine in New York, NY

Active since July 12, 2023PECOS EnrolledAccepts Medicare Assignment
1901 FIRST AVENUE, DEPARTMENT OF MEDICINE, METROPOLITAN HOSPITAL CENTER, NEW YORK, NY 10029(212) 423-6771(212) 423-8099 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Jul 12, 2023 (2 updates tracked since 2023).

About Gajendra Bham NPPES

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

GAJENDRA BHAM (NPI 1780363499) is an individual internal medicine provider in New York, New York, licensed in New York (345608) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780363499
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAJENDRA BHAM
Location Address1901 FIRST AVENUE, DEPARTMENT OF MEDICINE, METROPOLITAN HOSPITAL CENTERNew York, NY 10029
Mailing Address1901 First Avenue, Department Of Medicine, Metropolitan Hospital CenterNew York, NY 10029 · (212) 423-6771 · Fax (212) 423-8099
Phone(212) 423-6771
Fax(212) 423-8099
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2023
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1780363499 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 NY · 345608
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1901 FIRST AVENUE, New York, NY 10029
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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

Gajendra Bham 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 ID8820552763
PECOS Enrollment IDI20260713001009
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 Reassignment

Medicare enrollment records show Gajendra Bham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ulster Physician Medicine Services PC
50 mi
Internal Medicine
707 E MAIN ST
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
NPI 1194608489 (845) 333-1000

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

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. VIVIAN CHOW SUN MD
Pediatrics
1901 FIRST AVENUE, DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10029
New York County (212) 423-7820
PRAVA KARKI MD
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK CITY, NY 10029
New York County (212) 423-6771
DR. MIRZA FAWAD AHMED M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE, DEPT. OF INTERNAL MEDICINE, METROPOLITAN HOSPITAL
NEW YORK, NY 10029
New York County (212) 423-6771
MS. RACINE ELAINE LOCSIN REINOSO M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-6771
MS. VONGDUEN KERDCHANA LCSW
Social Worker (Clinical)
1901 FIRST AVENUE, ROOM 2M29
NEW YORK, NY 10029
New York County (212) 423-6825
MR. HUDSON MARTINS DE BRITO M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-6262
DR. THEODORE HENRY LENOX III MD
Internal Medicine (Infectious Disease)
1901 FIRST AVENUE, RM 7B-1
NEW YORK, NY 10029
New York County (212) 423-7247
MS. FAITH WEDDERBURN LMSW
Social Worker
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-7012

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 Gajendra Bham's NPI number?

The NPI number for Gajendra Bham is 1780363499. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Gajendra Bham located?

Gajendra Bham practices at 1901 First Avenue Department Of Medicine, Metropolitan Hospital Center, New York, NY 10029. The listed phone number is (212) 423-6771.

What is Gajendra Bham's specialty?

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

Is Gajendra Bham enrolled in Medicare?

Yes. Gajendra Bham 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 organization bills Medicare for Gajendra Bham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gajendra Bham reassigns Medicare benefits to Ulster Physician Medicine Services PC (Middletown, NY). The 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 Gajendra Bham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gajendra Bham affiliated with any hospitals?

According to CMS data, Gajendra Bham is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Gajendra Bham was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.