Individual provider Active NPI

Muhammad Arshad Bhalli, PA

  • Physician Assistant
  • Baudette, MN
National Provider Identifier
1093288789
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13401 Issued in MN
Practice address
600 Main Ave S
Baudette, MN 56623-2855
Phone
(218) 634-2120
Fax
(218) 634-1016
NPI assigned
Jan 6, 2019
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12373 TX
Physician Assistant 363A00000X PA1965 ME
Physician Assistant 363A00000X 13401 MN Primary

Addresses

Primary practice location

600 Main Ave S
Baudette, MN 56623-2855

Mailing address

600 Main Ave S
Baudette, MN 56623-2855
Phone (218) 634-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314000532 TX Practitioner - Physician Assistant 5193065928 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
76.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1965MEMDPhysician Assistant
13401MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Epic PCPS of Texas LLC CurrentSince Oct 21, 2025 Accepting new patients
Baylor County Hospital District CurrentSince Feb 1, 2025 Accepting new patients
Concho County Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Baylor County Hospital District CurrentSince Feb 1, 2025 Accepting new patients
Concho County Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Feb 5, 2026 Accepting new patients
Walk-in & Urgent Care PA Physician Assistant PastSince Feb 8, 2018 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3909 W Parker Rd
Plano, TX 75023
Phone (214) 506-1136

3909 W Parker Rd
Ste 104
Plano, TX 75023
Phone (469) 609-3062

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

200 Stadium Dr
Seymour, TX 76380
Phone (940) 888-5572

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
  • Direct secure messaging: muhammad.bhalli.1@6815.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1093288789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN AVE S",
            "city": "BAUDETTE",
            "state": "MN",
            "postal_code": "566232855",
            "telephone_number": "218-634-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN AVE S",
            "city": "BAUDETTE",
            "state": "MN",
            "postal_code": "566232855",
            "telephone_number": "218-634-2120",
            "fax_number": "218-634-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLI",
        "first_name": "MUHAMMAD",
        "middle_name": "ARSHAD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-06",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12373",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1965",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baudette, MN

Sources for this page

Verify at the official NPI Registry.