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BALA BHAGAVATH M.D.
NPI 1780889618
Obstetrics & Gynecology - Reproductive Endocrinology in Middleton, WI

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
2365 DEMING WAY, MIDDLETON, WI 53562(608) 824-6160 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2021, Feb 3, 2020, Feb 1, 2019 (3 updates tracked since 2019).

About Bala Bhagavath M.d. NPPES

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

BALA BHAGAVATH M.D. (NPI 1780889618) is an individual reproductive endocrinology provider in Middleton, Wisconsin, licensed in Wisconsin (72546-20) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1780889618
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameBALA BHAGAVATHCredential: M.D.
Location Address2365 DEMING WAYMiddleton, WI 53562-5512
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 824-6160
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 20, 2007
Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1780889618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Licenses✔ Licensed in WI · 72546-20✔ Licensed in RI · MD12320✔ Licensed in NY · 267127
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
2365 DEMING WAY, Middleton, WI 53562
Open in Google Maps ↗

Other Names 1

Former Name (1)Balasubramanian Bhagavath

Other Identifiers 1

Medicaid03508014NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Bala Bhagavath 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 ID1153414941
PECOS Enrollment IDI20200205002135
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 Bala Bhagavath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Generations Fertility Care Inc
Same address
Multi-Specialty
2365 DEMING WAY
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 62 clinicians in this Medicare group
NPI 1093025686 (608) 828-1868
University Of Wisconsin Medical Foundation, Inc
0.3 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53562 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 10

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

KILEY DEHAVEN PA-C
Physician Assistant (Medical)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160
GENERATIONS FERTILITY CARE INC
Clinic/Center (Multi-Specialty)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 828-1868
MEGAN MARION LYGHT PA
Physician Assistant (Medical)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160
DR. ZEKI BEYHAN PHD, HCLD
Obstetrics & Gynecology (Reproductive Endocrinology)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6181
DR. KRISTEN WILKINSON PSY.D.
Psychologist
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160
DR. TANYA GLENN M.D.
Obstetrics & Gynecology
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160
LAURA G. HOLLINGSWORTH COONEY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160
JASMIN BARTHEL PA
Physician Assistant (Medical)
2365 DEMING WAY
MIDDLETON, WI 53562
Dane County (608) 824-6160

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 Bala Bhagavath's NPI number?

The NPI number for Bala Bhagavath is 1780889618. It was assigned to this individual provider in the NPPES registry on June 20, 2007. The provider is also known as Balasubramanian Bhagavath.

Where is Bala Bhagavath located?

Bala Bhagavath practices at 2365 Deming Way, Middleton, WI 53562. The listed phone number is (608) 824-6160.

What is Bala Bhagavath's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Bala Bhagavath enrolled in Medicare?

Yes. Bala Bhagavath 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 Bala Bhagavath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bala Bhagavath reassigns Medicare benefits to 2 organizations: Generations Fertility Care Inc (Middleton, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Bala Bhagavath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bala Bhagavath accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Bala Bhagavath 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 Bala Bhagavath was last updated on January 25, 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.