Individual provider Active NPI

Rajat Bhalla, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jupiter, FL
National Provider Identifier
1063857001
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME122792 Issued in FL
Practice address
2055 Military TRL Ste 303
Jupiter, FL 33458-7830
Phone
(561) 529-3100
NPI assigned
May 3, 2013
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME122792 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME122792 FL Primary
Hospitalist Physician 208M00000X ME122792 FL

Addresses

Primary practice location

2055 Military TRL Ste 303
Jupiter, FL 33458-7830

Mailing address

2055 Military TRL Ste 303
Jupiter, FL 33458-7830
Phone (561) 529-3100

Other identifiers 1

IdentifierTypeStateIssuer
018970700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808002236 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 1557501525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Suite C12
Port St Lucie, FL 34952-7541
Phone (561) 529-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122792FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. Current Accepting new patients
Bhalla Endocrinology, P.a. Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2023 Accepting new patients

Locations

2055 Military Trl
Ste 303
Jupiter, FL 33458
Phone (561) 427-0860

1701 SE Hillmoor Dr
Ste C12
Port St Lucie, FL 34952
Phone (561) 529-3100

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • Direct secure messaging: rajat.bhalla@605169252564996.direct.elationemr.com
  • Direct secure messaging: rajat.bhalla@nmc.medalliesdirect.net
  • Direct secure messaging: rbhalla19361@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1063857001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587830",
            "telephone_number": "561-529-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587830",
            "telephone_number": "561-529-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "RAJAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122792",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME122792",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME122792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018970700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.