DR. RAJIV BHATTARAI M.D
NPI 1861748089
Internal Medicine in Tyler, TX

Active since July 25, 2012PECOS EnrolledAccepts Medicare Assignment
800 E DAWSON ST, TYLER, TX 75701(903) 606-4129 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rajiv Bhattarai M.d NPPES

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

DR. RAJIV BHATTARAI M.D (NPI 1861748089) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (Q3483) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and maintains a secondary practice location in Darby.

NPPES Registry Identity

NPI1861748089
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAJIV BHATTARAICredential: M.D
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing Address1500 Lansdowne Ave, Mercy Fitzerald Hospital,msb,mezzanine Level,ms #40Darby, PA 19023-1200 · (610) 237-4684 · Fax (610) 237-4762
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 25, 2012
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedAugust 19, 2020
NPI 1861748089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · Q3483 Licensed in PA · MT200771
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 E DAWSON ST, Tyler, TX 75701

Secondary Practice Location 1

Location 11500 Lansdowne Ave, Mercy Fitzerald Hospital,MSB,Mezzanine level,MS #40Darby, PA 19023-1200 · Phone (610) 237-4684 · Fax (610) 237-4762

Other Identifiers 1

Other1G2158TX · Medicare

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. Rajiv Bhattarai 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 ID1456573351
PECOS Enrollment IDI20150722004693
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 5

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 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.
756 services308 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.
332 services149 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.
257 services245 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.
80 services80 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

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…
100%88 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier38 claims38 services$13.83 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
1 supplier38 claims38 services$62.13 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 20

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

Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701

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 Rajiv Bhattarai's NPI number?

The NPI number for Rajiv Bhattarai is 1861748089. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Rajiv Bhattarai located?

Rajiv Bhattarai practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-4129.

What is Rajiv Bhattarai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajiv Bhattarai enrolled in Medicare?

Yes. Rajiv Bhattarai 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 Rajiv Bhattarai accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Rajiv Bhattarai 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 Rajiv Bhattarai affiliated with any hospitals?

According to CMS data, Rajiv Bhattarai is affiliated with Texas Health Presbyterian Hospital Dallas.

When was this NPI record last updated?

The NPPES record for Rajiv Bhattarai was last updated on January 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.