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KARISHMA BHIMJI M.D
NPI 1831453299
Hospitalist in Pittsburgh, PA

Active since June 30, 2012PECOS EnrolledAccepts Medicare Assignment
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-3131 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karishma Bhimji M.d NPPES

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

KARISHMA BHIMJI M.D (NPI 1831453299) is an individual hospitalist provider in Pittsburgh, Pennsylvania, licensed in Florida (ME123653) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831453299
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKARISHMA BHIMJICredential: M.D
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address7070 Forward Ave Apt 503Pittsburgh, PA 15217-2552 · (979) 661-4855
Phone(412) 359-3131
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 30, 2012
Last NPPES UpdateNovember 11, 2015
✔ NPI 1831453299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME123653
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT202735 (PA)
320 E NORTH AVE, Pittsburgh, PA 15212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, WellPoint.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

Karishma Bhimji 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 ID4789984212
PECOS Enrollment IDI20171226001729
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.

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.
56 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
73%212 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
ADEE ELHAMDANI
Student in an Organized Health Care Education/Training Program
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4971

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 Karishma Bhimji's NPI number?

The NPI number for Karishma Bhimji is 1831453299. It was assigned to this individual provider in the NPPES registry on June 30, 2012.

Where is Karishma Bhimji located?

Karishma Bhimji practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-3131.

What is Karishma Bhimji's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Karishma Bhimji enrolled in Medicare?

Yes. Karishma Bhimji 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 Karishma Bhimji accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Karishma Bhimji 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 Karishma Bhimji affiliated with any hospitals?

According to CMS data, Karishma Bhimji is affiliated with Chi St Joseph Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Karishma Bhimji was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.