NEIL AVINASH BHATHELA DO
NPI 1851820567
Psychiatry & Neurology - Neurology in Charlotte, NC

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1225 HARDING PL, STE 4100, CHARLOTTE, NC 28204(704) 377-9323 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Jul 15, 2024, Aug 30, 2023 and 3 more (6 updates tracked since 2017).

About Neil Avinash Bhathela Do NPPES

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

NEIL AVINASH BHATHELA DO (NPI 1851820567) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2023-02209) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1851820567
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNEIL AVINASH BHATHELACredential: DO
Location Address1225 HARDING PL, STE 4100Charlotte, NC 28204-2826
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateNovember 8, 20246 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1851820567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NC · 2023-02209 Licensed in FL · OS20160
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Brain Injury MedicineTaxonomy 2084P0301X · License 2023-02209 (NC)
1225 HARDING PL, Charlotte, NC 28204

Secondary Practice Locations 4

Location 1315 Medical Park Dr, Ste 202Concord, NC 28025-1902 · Phone (704) 403-1911
Location 2441 McAlister Rd, Ste 2200Lincolnton, NC 28092-4126 · Phone (980) 212-6652
Location 3101 E W T Harris Blvd, Ste 5202Charlotte, NC 28262-3485 · Phone (704) 863-8700
Location 41010 Edgehill Rd NCharlotte, NC 28207-1885 · Phone (704) 446-1900

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

Neil Avinash Bhathela Do 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 ID2163793829
PECOS Enrollment IDI20230906000201, I20231023002830, I20240119000951, I20250319003679
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Urology
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204

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 Neil Bhathela's NPI number?

The NPI number for Neil Bhathela is 1851820567. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Neil Bhathela located?

Neil Bhathela practices at 1225 Harding Pl Ste 4100, Charlotte, NC 28204. The listed phone number is (704) 377-9323.

What is Neil Bhathela's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Neil Bhathela enrolled in Medicare?

Yes. Neil Bhathela 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 Neil Bhathela accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Home State Health and Ambetter of North Carolina and 7 other insurers list Neil Bhathela 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 Neil Bhathela affiliated with any hospitals?

According to CMS data, Neil Bhathela is affiliated with Riverside Medical Center and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Neil Bhathela was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.