ADNAN MUSTAFA BHOPALWALA MD
NPI 1811200744
Internal Medicine - Cardiovascular Disease in Whitesburg, KY

Q: What is Adnan Bhopalwala's NPI number?

The NPI number for Adnan Bhopalwala is 1811200744. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Adnan Bhopalwala's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adnan Bhopalwala was last updated on December 16, 2021. 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.

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

214 HOSPITAL RD, WHITESBURG, KY 41858(606) 633-6239 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2021, Jun 30, 2016 (2 updates tracked since 2016).

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About Adnan Mustafa Bhopalwala Md NPPES

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

ADNAN MUSTAFA BHOPALWALA MD (NPI 1811200744) is an individual cardiovascular disease provider in Whitesburg, Kentucky, licensed in Kentucky (48700) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811200744

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameADNAN MUSTAFA BHOPALWALACredential: MD

Location Address214 HOSPITAL RDWhitesburg, KY 41858-7627

Mailing Address214 Hospital RdWhitesburg, KY 41858-7627 · (606) 633-6239

Phone(606) 633-6239

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 20, 2010

Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration

NPPES CertifiedDecember 16, 2021

✔ NPI 1811200744 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 KY · 48700✔ Licensed in HI · MD17071

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 4301096876 (MI)

214 HOSPITAL RD, Whitesburg, KY 41858

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Other Identifiers 1

Medicaid7100430250KY

Accepted Insurance

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

Adnan Mustafa Bhopalwala 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 ID244518710

PECOS Enrollment IDI20161103001987

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 15

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.

455 services332 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.

452 services434 patients

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.

223 services83 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

122 services69 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.

119 services103 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.

97 services95 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

94 services92 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.

87 services86 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

63 services58 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.

29 services28 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.

26 services20 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.

23 services21 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services20 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

16 services14 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180002

Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County

Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180029

Location100 Medical Center DriveHazard, KY 41701 · Perry County

Emergency services Birthing friendly

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181307

Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County

Emergency services

Knox County Hospital

Critical Access Hospitals · Barbourville, KY

OwnershipGovernment - Local

CMS Certification Number181328

Location80 Hospital DriveBarbourville, KY 40906 · Knox County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

97.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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. WILLIAM G WARD M.D.

Surgery

214 HOSPITAL RD
WHITESBURG, KY 41858

Letcher County (606) 633-3526

KEVIN MATTHEW GOOCH MD

Internal Medicine

214 HOSPITAL RD
WHITESBURG, KY 41858

Letcher County (606) 633-3631

WHITESBURG WOMEN'S CENTER, LLC

Obstetrics & Gynecology

214 HOSPITAL RD, SUITE D
WHITESBURG, KY 41858

Letcher County (606) 633-5553

JOHN L. PELLEGRINI M.D.

Surgery

214 HOSPITAL RD, SUITE 1
WHITESBURG, KY 41858

Letcher County (606) 633-2255

APPALACHIAN REGIONAL HEALTHCARE, INC.

Clinic/Center (Multi-Specialty)

214 HOSPITAL RD
WHITESBURG, KY 41858

Letcher County (606) 633-3631

APPALACHIAN REGIONAL HEALTHCARE, INC.

Clinic/Center (Rural Health)

214 HOSPITAL RD
WHITESBURG, KY 41858

Letcher County (606) 633-3631

SAMANTHA OCTAVIA EVERSOLE DO

Internal Medicine

214 HOSPITAL RD
WHITESBURG, KY 41858

Letcher County (606) 633-4414

TIN CHANH TRAN M.D.

Surgery

214 HOSPITAL RD, SUITE A
WHITESBURG, KY 41858

Letcher County (606) 633-2255

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 Adnan Bhopalwala's NPI number?

The NPI number for Adnan Bhopalwala is 1811200744. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Adnan Bhopalwala located?

Adnan Bhopalwala practices at 214 Hospital Rd, Whitesburg, KY 41858. The listed phone number is (606) 633-6239.

What is Adnan Bhopalwala's specialty?

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

Is Adnan Bhopalwala enrolled in Medicare?

Yes. Adnan Bhopalwala 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 Adnan Bhopalwala accept?

Health plans from CareSource list Adnan Bhopalwala 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 Adnan Bhopalwala affiliated with any hospitals?

According to CMS data, Adnan Bhopalwala is affiliated with Whitesburg Arh Hospital, Middlesboro Arh Hospital, Hazard Arh Regional Medical Center, Morgan County Arh Hospital and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Adnan Bhopalwala was last updated on December 16, 2021. 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.