Individual provider Active NPI

Ravi Bhalla, M.D.

  • Rheumatology Physician
  • Peoria, AZ
National Provider Identifier
1174512263
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
22399 Issued in AZ
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

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22399OtherAZLICENSE
172651MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Valley Arthritis Care LLC Rheumatology CurrentSince Jan 1, 2001 Accepting new patients
Orange Medical LLC PastSince Jan 1, 2001 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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 8 clinicians

Practice addresses (Care Compare)

13943 N 91St Ave BLDG I
Peoria, AZ 85381-3688
Phone (623) 815-2690

Hospital & facility affiliations

  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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

Verify at the official NPI Registry.