DR. PULKESH BHATIA MD
NPI 1871933960
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI
About Dr. Pulkesh Bhatia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PULKESH BHATIA MD (NPI 1871933960) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Grand Rapids, Michigan, licensed in Michigan (4301500455) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Pulkesh Bhatia Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Pulkesh Bhatia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Excelsior Springs, MO 64024
- Reassigned Medicare billing, Missouri enrollment
- 166 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Medical Center Of Illinois
Acute Care Hospitals · Peoria, ILNew Liberty Hospital District
Acute Care Hospitals · Liberty, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Pulkesh Bhatia's NPI number?
The NPI number for Pulkesh Bhatia is 1871933960. It was assigned to this individual provider in the NPPES registry on July 3, 2013.
Where is Pulkesh Bhatia located?
Pulkesh Bhatia practices at 100 Michigan St NE Ste 8830, Grand Rapids, MI 49503. The listed phone number is (616) 459-7258.
What is Pulkesh Bhatia's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Pulkesh Bhatia enrolled in Medicare?
Yes. Pulkesh Bhatia 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 Pulkesh Bhatia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pulkesh Bhatia reassigns Medicare benefits to 3 organizations: Carle Health Medical Group (Urbana, IL), Methodist Medical Center Of Illinois (Peoria, IL) and New Liberty Hospital Corporation (Excelsior Springs, MO). 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 Pulkesh Bhatia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pulkesh Bhatia accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Pulkesh Bhatia 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 Pulkesh Bhatia affiliated with any hospitals?
According to CMS data, Pulkesh Bhatia is affiliated with Methodist Medical Center Of Illinois and New Liberty Hospital District.
When was this NPI record last updated?
The NPPES record for Pulkesh Bhatia was last updated on July 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Pulkesh Bhatia, MD · NPI 1871933960
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 3, 2013.
## Identity
- **NPI:** 1871933960 (Entity type: Individual)
- **Enumerated:** July 3, 2013
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 4301500455 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE STE 8830, Grand Rapids, MI 49503-2560
- **Phone:** (616) 459-7258
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Methodist Medical Center Of Illinois (NPI 1275583155, Peoria, IL); New Liberty Hospital Corporation (NPI 1326386749, Excelsior Springs, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1871933960) · Data from the CMS NPPES public registry.