BRAJESH BHATLA M.D.
NPI 1821045600
Internal Medicine - Nephrology in Harlingen, TX

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
4402 E SESAME DR, HARLINGEN, TX 78550(956) 412-1125(956) 440-8854 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brajesh Bhatla M.d. NPPES

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

BRAJESH BHATLA M.D. (NPI 1821045600) is an individual nephrology provider in Harlingen, Texas, licensed in Texas (J9973) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1821045600
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBRAJESH BHATLACredential: M.D.
Location Address4402 E SESAME DRHarlingen, TX 78550-9290
Mailing AddressPo Box 2835Harlingen, TX 78551-2835 · (956) 412-1125 · Fax (956) 440-8854
Fax(956) 440-8854
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 19, 2008
NPI 1821045600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · J9973
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4402 E SESAME DR, Harlingen, TX 78550

Other Identifiers 4

Medicaid110742704TX
Medicare PIN8C0729TX
Other8P5560TN · Blue Cross Blue Sheild
Medicare UPING31369TX

Accepted 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

Brajesh Bhatla 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 ID4587647250
PECOS Enrollment IDI20040611001378
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 23

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.
1,557 services370 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.
1,364 services212 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
1,123 services291 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
1,120 services291 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
921 services121 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
872 services265 patients

Hospital Affiliations CMS Care Compare 3

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost61.01

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers35 claims70 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers23 claims23 services$1.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$98.90 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$1.54 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers81 claims4,605 services$0.31 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers23 claims2,220 services$0.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Nephrology)
4402 E SESAME DR
HARLINGEN, TX 78550
Internal Medicine (Nephrology)
4402 E SESAME DR
HARLINGEN, TX 78550
Nurse Practitioner (Family)
4402 E SESAME DR
HARLINGEN, TX 78550

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 Brajesh Bhatla's NPI number?

The NPI number for Brajesh Bhatla is 1821045600. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Brajesh Bhatla located?

Brajesh Bhatla practices at 4402 E Sesame Dr, Harlingen, TX 78550. The listed phone number is (956) 412-1125.

What is Brajesh Bhatla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brajesh Bhatla enrolled in Medicare?

Yes. Brajesh Bhatla 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 Brajesh Bhatla accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Brajesh Bhatla 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 Brajesh Bhatla affiliated with any hospitals?

According to CMS data, Brajesh Bhatla is affiliated with Vhs Harlingen Hospital Company LLC, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Brajesh Bhatla was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.