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DR. PULKESH BHATIA MD
NPI 1871933960
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment
75.53/100
CMS Quality Rating
100 MICHIGAN ST NE STE 8830, GRAND RAPIDS, MI 49503(616) 459-7258 Get Directions Write a Review

NPPES record last updated: July 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2019, Jul 2, 2019 (2 updates tracked since 2019).

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

NPI1871933960
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. PULKESH BHATIACredential: MD
Location Address100 MICHIGAN ST NE STE 8830Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne Ste 8830Grand Rapids, MI 49503-2560
Phone(616) 459-7258
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 3, 2013
Last NPPES UpdateJuly 14, 20192 updates tracked since enumeration
✔ NPI 1871933960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MI · 4301500455
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
100 MICHIGAN ST NE STE 8830, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. 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.

PECOS PAC ID7810285723
PECOS Enrollment IDI20220920000469
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

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.

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.
24 services24 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Physician 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.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.8
Promoting Interoperability100
Improvement Activities40
Cost51.64

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.

What insurance does Pulkesh Bhatia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers 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.