DR. NIRAJ BHALAKIA M.D.
NPI 1841426558
Radiology - Vascular & Interventional Radiology in Hamilton, NJ

Q: What is Niraj Bhalakia's NPI number?

The NPI number for Niraj Bhalakia is 1841426558. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Q: What is Niraj Bhalakia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Niraj Bhalakia was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 June 09, 2009PECOS EnrolledAccepts Medicare Assignment

78.75/100

CMS Quality Rating

2501 KUSER RD, HAMILTON, NJ 08691(609) 585-8800 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Jul 24, 2026, May 15, 2026 (3 updates tracked since 2026).

On this page

About Dr. Niraj Bhalakia M.d. NPPES

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

DR. NIRAJ BHALAKIA M.D. (NPI 1841426558) is an individual vascular & interventional radiology provider in Hamilton, New Jersey, licensed in Missouri (2026028077) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841426558

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. NIRAJ BHALAKIACredential: M.D.

Location Address2501 KUSER RDHamilton, NJ 08691-3386

Mailing Address2501 Kuser RdHamilton, NJ 08691-3386 · (609) 585-8800

Phone(609) 585-8800

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2009

Enumeration DateJune 9, 2009

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1841426558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Licenses✔ Licensed in MO · 2026028077✔ Licensed in OH · 35C.004386✔ Licensed in IL · 036174665

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 036174665 (IL), 35C.004386 (OH)

2501 KUSER RD, Hamilton, NJ 08691

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1395 W 12th AveColumbus, OH 43210-1267 · Phone (614) 293-8315 · Fax (614) 293-6935

Location 21201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Dr. Niraj Bhalakia 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 ID4385877190

PECOS Enrollment IDI20180619003014, I20260526001459

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

Medicare enrollment records show Niraj Bhalakia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Affiliates Of Central New Jersey PC

Same address

Diagnostic Radiology

2501 KUSER RD
Hamilton, NJ 08691

Reassigned Medicare billing, Pennsylvania enrollment
77 clinicians in this Medicare group

NPI 1811994791 (609) 585-8800

Osu Radiology LLC

443 mi

Diagnostic Radiology

520 W 10TH AVE
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
163 clinicians in this Medicare group

NPI 1912956814 (614) 293-8315

Imaging Associates Of Indiana, PC

611 mi

Diagnostic Radiology

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
219 clinicians in this Medicare group

NPI 1699072611 (219) 767-6320

Osf Multi-Specialty Group

791 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1154908929 (309) 683-5050

Ssm Health Care Group

839 mi

Internal Medicine

1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104

Reassigned Medicare billing, Missouri enrollment
1,294 clinicians in this Medicare group

NPI 1306589544 (314) 977-6100

Florida Hospital Physician Group Inc

946 mi

Family Medicine

3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613

Reassigned Medicare billing, Florida and Illinois enrollments
1,719 clinicians in this Medicare group

NPI 1174955256 (813) 336-5766

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

Areas of Expertise CMS Part B claims 22

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.

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

635 services635 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

74 services33 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

57 services57 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

51 services50 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

50 services49 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

40 services39 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

35 services35 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

31 services28 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

27 services27 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

27 services27 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

25 services25 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

23 services22 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

22 services20 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

19 services19 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

15 services15 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

14 services13 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

12 services12 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

12 services12 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

11 services11 patients

Needle biopsy of liver through skin 47000

A needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.

11 services11 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

11 services11 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150165

Location701 Superior AveMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08691 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

78.75/100

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

Scored as part of a group practice

Quality

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.

STEVEN L MESHKOV MD

Radiology (Diagnostic Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

JOSEPH J. KIM MD

Radiology (Diagnostic Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

GUSTAVO SANCHEZ MD

Radiology (Vascular & Interventional Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

ROY M PRAGER M.D.

Radiology (Diagnostic Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

DR. JEFFREY JOHN MATHEWS M.D.

Radiology (Diagnostic Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

RICHARD F. SCAFIDI MD

Radiology (Diagnostic Radiology)

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 585-8800

PAUL J. WEISER MD

Radiology (Diagnostic Radiology)

2501 KUSER RD, STE 514
HAMILTON, NJ 08691

Mercer County (609) 585-8800

MR. SHAFIQ AHMED O.T.

Occupational Therapist

2501 KUSER RD
HAMILTON, NJ 08691

Mercer County (609) 587-4777

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 Niraj Bhalakia's NPI number?

The NPI number for Niraj Bhalakia is 1841426558. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Niraj Bhalakia located?

Niraj Bhalakia practices at 2501 Kuser Rd, Hamilton, NJ 08691. The listed phone number is (609) 585-8800.

What is Niraj Bhalakia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Niraj Bhalakia enrolled in Medicare?

Yes. Niraj Bhalakia 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 Niraj Bhalakia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Bhalakia reassigns Medicare benefits to 6 organizations: Radiology Affiliates Of Central New Jersey PC (Hamilton, NJ), Osu Radiology LLC (Columbus, OH), Imaging Associates Of Indiana, PC (Indianapolis, IN), Osf Multi-Specialty Group (Peoria, IL), Ssm Health Care Group (Saint Louis, MO) and 1 more organization, listed in the Medicare section above. 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 Niraj Bhalakia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Bhalakia accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Niraj Bhalakia 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 Niraj Bhalakia affiliated with any hospitals?

According to CMS data, Niraj Bhalakia is affiliated with Franciscan Health Michigan City, Franciscan Health Dyer, Franciscan Health Lafayette, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Niraj Bhalakia was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.