DR. NINA BHAMBHANI M.D.
NPI 1831147545
Internal Medicine - Rheumatology in East Stroudsburg, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
505 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301(610) 776-5038 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2023, Feb 25, 2021 (2 updates tracked since 2021).

About Dr. Nina Bhambhani M.d. NPPES

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

DR. NINA BHAMBHANI M.D. (NPI 1831147545) is an individual rheumatology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD481390) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Forest Hills.

NPPES Registry Identity

NPI1831147545
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NINA BHAMBHANICredential: M.D.
Location Address505 INDEPENDENCE RDEast Stroudsburg, PA 18301-7916
Mailing Address11220 72nd DrForest Hills, NY 11375-5631 · (718) 441-3900 · Fax (718) 480-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1831147545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in PA · MD481390 Licensed in NY · 237936
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 237936 (NY)
505 INDEPENDENCE RD, East Stroudsburg, PA 18301

Secondary Practice Location 1

Location 111220 72nd DrForest Hills, NY 11375-5631 · Phone (718) 441-3900 · Fax (718) 480-8781

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

Dr. Nina Bhambhani 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 ID9739184060
PECOS Enrollment IDI20230929000940
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 4

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.
427 services187 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
110 services110 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.
39 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 19

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

Internal Medicine (Rheumatology)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Physical Therapy Assistant
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Surgery (Vascular Surgery)
505 INDEPENDENCE RD, STE E
EAST STROUDSBURG, PA 18301
Orthopaedic Surgery (Orthopaedic Trauma)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301

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 Nina Bhambhani's NPI number?

The NPI number for Nina Bhambhani is 1831147545. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Nina Bhambhani located?

Nina Bhambhani practices at 505 Independence Rd, East Stroudsburg, PA 18301. The listed phone number is (610) 776-5038.

What is Nina Bhambhani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nina Bhambhani enrolled in Medicare?

Yes. Nina Bhambhani 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 Nina Bhambhani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nina Bhambhani 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 Nina Bhambhani affiliated with any hospitals?

According to CMS data, Nina Bhambhani is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Nina Bhambhani was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.