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DR. ARJUN BAMZAI
NPI 1942252184
Pediatrics in Cross City, FL

Active since May 16, 2006PECOS Enrolled
149 NE 241ST ST, CROSS CITY, FL 32628(352) 498-1360 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2020, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Arjun Bamzai NPPES

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

DR. ARJUN BAMZAI (NPI 1942252184) is an individual pediatrics provider in Cross City, Florida, licensed in Florida (ME117339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942252184
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ARJUN BAMZAI
Location Address149 NE 241ST STCross City, FL 32628-3305
Mailing Address1550 S Water StStarke, FL 32091-4511 · (352) 498-1360
Phone(352) 498-1360
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1942252184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME117339✔ Licensed in MN · 102169
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
149 NE 241ST ST, Cross City, FL 32628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arjun Bamzai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Arjun Bamzai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
46 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32628 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 1% · 816 patients
Patients physicalActivity: 0% · 816 patients
64%816 patients
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.

Other Providers at the Same Location NPPES

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

MR. TORSTEN WAINO ANDERSEN MD
Pediatrics
149 NE 241ST ST, DIXIE COUNTY HEALTH DEPARTMENT
CROSS CITY, FL 32628
Dixie County (352) 498-1360

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 Arjun Bamzai's NPI number?

The NPI number for Arjun Bamzai is 1942252184. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Arjun Bamzai located?

Arjun Bamzai practices at 149 NE 241st St, Cross City, FL 32628. The listed phone number is (352) 498-1360.

What is Arjun Bamzai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Arjun Bamzai enrolled in Medicare?

Yes. Arjun Bamzai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Arjun Bamzai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arjun Bamzai reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Arjun Bamzai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arjun Bamzai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Arjun Bamzai 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.

When was this NPI record last updated?

The NPPES record for Arjun Bamzai was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.