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DR. ARPITA BHALODKAR M.D.
NPI 1912314402
Internal Medicine - Endocrinology, Diabetes & Metabolism in Woodbury, NY

Active since July 16, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
415 CROSSWAYS PARK DR STE F, WOODBURY, NY 11797(516) 684-9229 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Arpita Bhalodkar M.d. NPPES

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

DR. ARPITA BHALODKAR M.D. (NPI 1912314402) is an individual endocrinology, diabetes & metabolism provider in Woodbury, New York, licensed in New York (302963) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912314402
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ARPITA BHALODKARCredential: M.D.
Location Address415 CROSSWAYS PARK DR STE FWoodbury, NY 11797-2055
Mailing Address415 Crossways Park Dr Ste FWoodbury, NY 11797-2055 · (516) 684-9229
Phone(516) 684-9229
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 16, 2014
Last NPPES UpdateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1912314402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 302963
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
415 CROSSWAYS PARK DR STE F, Woodbury, NY 11797
Open in Google Maps ↗

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. Arpita Bhalodkar 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 ID4284057902
PECOS Enrollment IDI20200714000029
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

2

Medicare enrollment records show Arpita Bhalodkar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Medical Group Of The Mount Sinai School Of Medicine
6.1 mi
Gastroenterology
775 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1164623278 (631) 659-4400
North Shore-Lij Medical PC
12 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 8

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,440 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services103 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
40 services33 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11797 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers23 claims51 services$5.67 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers25 claims25 services$191.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Arpita Bhalodkar's NPI number?

The NPI number for Arpita Bhalodkar is 1912314402. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Arpita Bhalodkar located?

Arpita Bhalodkar practices at 415 Crossways Park Dr Ste F, Woodbury, NY 11797. The listed phone number is (516) 684-9229.

What is Arpita Bhalodkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Arpita Bhalodkar enrolled in Medicare?

Yes. Arpita Bhalodkar 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 Arpita Bhalodkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arpita Bhalodkar reassigns Medicare benefits to 2 organizations: North Shore Medical Group Of The Mount Sinai School Of Medicine (Huntington, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Arpita Bhalodkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Arpita Bhalodkar affiliated with any hospitals?

According to CMS data, Arpita Bhalodkar is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Arpita Bhalodkar was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.