VIPULKUMAR M. BHALARA MD
NPI 1942676267
Internal Medicine - Nephrology in Wayne, NJ

Q: What is Vipulkumar Bhalara's NPI number?

The NPI number for Vipulkumar Bhalara is 1942676267. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Q: What is Vipulkumar Bhalara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 20, 2015PECOS EnrolledAccepts Medicare Assignment

246 HAMBURG TPKE STE 207, WAYNE, NJ 07470(973) 653-3366(973) 653-3365 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vipulkumar M. Bhalara Md NPPES

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

VIPULKUMAR M. BHALARA MD (NPI 1942676267) is an individual nephrology provider in Wayne, New Jersey, licensed in New Jersey (25MA10610100) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942676267

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameVIPULKUMAR M. BHALARACredential: MD

Location Address246 HAMBURG TPKE STE 207Wayne, NJ 07470-2160

Mailing Address246 Hamburg Tpke Ste 207Wayne, NJ 07470-2160 · (973) 653-3366 · Fax (973) 653-3365

Phone(973) 653-3366

Fax(973) 653-3365

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 20, 2015

Last NPPES UpdateOctober 9, 2019

✔ NPI 1942676267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NJ · 25MA10610100

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

246 HAMBURG TPKE STE 207, Wayne, NJ 07470

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Other Identifiers 1

Medicaid3HZN10435320NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Vipulkumar M. Bhalara 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 ID1658603246

PECOS Enrollment IDI20191031001532

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 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.

821 services266 patients

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.

120 services96 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.

103 services96 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

79 services17 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

67 services43 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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Other Providers at the Same Location NPPES 10

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

ANURADHA R KONKESA MD

Internal Medicine (Nephrology)