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ROHIT BHALLA DO
NPI 1962604819
Internal Medicine - Infectious Disease in Hillsborough, NJ

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
105 RAIDER BLVD, SUITE 101, HILLSBOROUGH, NJ 08844(908) 281-0221(908) 281-0890 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rohit Bhalla Do NPPES

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

ROHIT BHALLA DO (NPI 1962604819) is an individual infectious disease provider in Hillsborough, New Jersey, licensed in New Jersey (28MBO7834600) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2001).

NPPES Registry Identity

NPI1962604819
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameROHIT BHALLACredential: DO
Location Address105 RAIDER BLVD, SUITE 101Hillsborough, NJ 08844-1528
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844-1528 · (908) 281-0221 · Fax (908) 281-0890
Phone(908) 281-0221
Fax(908) 281-0890
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2001
Enumeration DateJune 4, 2007
Last NPPES UpdateNovember 19, 2013
✔ NPI 1962604819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 28MBO7834600
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
105 RAIDER BLVD, Hillsborough, NJ 08844
Open in Google Maps ↗

Other Identifiers 2

Medicaid0153818NJ
Medicare PIN118278C0LNJ

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

Rohit Bhalla Do 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 ID1456449552
PECOS Enrollment IDI20071126000399
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 11

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 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.
853 services427 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.
311 services71 patients
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.
199 services127 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.
194 services180 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.
169 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services48 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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.

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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. RONALD G NAHASS M.D.
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DR. NAVTIKA R DESAI DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
105 RAIDER BLVD, SUITE 200
HILLSBOROUGH, NJ 08844
Somerset County (908) 829-4244
MELISSA POULSEN
Pharmacist (Infectious Diseases)
105 RAIDER BLVD
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
MRS. KATHLEEN H SENECA APN
Nurse Practitioner (Adult Health)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DR. RICHARD EVAN KRIEGER M.D.
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
NAZAR RAOOF MD
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
MRS. NANCY JEAN SEYLER APN-C
Nurse Practitioner (Adult Health)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DANIELLE DOLAN RN,MSN,APN-C
Nurse Practitioner
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221

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 Rohit Bhalla's NPI number?

The NPI number for Rohit Bhalla is 1962604819. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Rohit Bhalla located?

Rohit Bhalla practices at 105 Raider Blvd Suite 101, Hillsborough, NJ 08844. The listed phone number is (908) 281-0221.

What is Rohit Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Rohit Bhalla enrolled in Medicare?

Yes. Rohit Bhalla 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 Rohit Bhalla accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rohit Bhalla 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 Rohit Bhalla affiliated with any hospitals?

According to CMS data, Rohit Bhalla is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Rohit Bhalla was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.