Active NPI
Ravi Bhalla, M.D.
- Rheumatology Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 22399
- Practice address
- 13943 N. 91St Ave
Building I
Peoria, AZ 85381-3692 - Phone
- (623) 815-2690
- Fax
- (623) 815-2689
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 22399 | AZ | Primary |
Addresses
Primary practice location
13943 N. 91St Ave
Building I
Peoria, AZ 85381-3692
Mailing address
13943 N. 91St Ave
Building I
Peoria, AZ 85381-3692
Phone (623) 815-2690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22399 | Other | AZ | LICENSE |
| 172651 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060627000174 | AZ | Practitioner - Rheumatology | 3779577440 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Arthritis Care LLC | Rheumatology | Current | Accepting new patients |
| Orange Medical LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
13555 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 512-4190
13660 N 94th Dr
Ste C2
Peoria, AZ 85381
Phone (623) 760-9449
13943 N 91st Ave
Ste I
Peoria, AZ 85381
Phone (623) 815-2690
9150 W Indian School Rd
Ste 107
Phoenix, AZ 85037
Phone (623) 266-8002
13613 W Camino del Sol
Ste 4
Sun City West, AZ 85375
Phone (623) 440-6591
Interoperability endpoints
- ravi.bhalla@valleyarthritiscare.directbygreenway.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Chandler, AZ
- NPI 1497178081
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Arthritis Care LLC
Practice addresses (Care Compare)
13943 N 91St Ave BLDG I
Peoria, AZ 85381-3688
Phone (623) 815-2690
Hospital & facility affiliations
- Wickenburg Community Hospital
- Banner del E. Webb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1174512263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13943 N. 91ST AVE",
"address_2": "BUILDING I",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853813692",
"telephone_number": "623-815-2690",
"fax_number": "623-815-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13943 N. 91ST AVE",
"address_2": "BUILDING I",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853813692",
"telephone_number": "623-815-2690",
"fax_number": "623-815-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHALLA",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AZ",
"license": "22399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "22399",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172651",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.