Individual provider Active NPI

Paulomi Kadakia Bhalla, M.D.

  • Neurology Physician
  • Pleasanton, CA
National Provider Identifier
1730317710
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A155340 Issued in CA
Practice address
5565 W Las Positas Blvd Ste 130
Pleasanton, CA 94588-4001
Phone
(925) 315-9456
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 MT195771 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 265076-1 NY
Neurology Physician 2084N0400X A155340 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd Ste 130
Pleasanton, CA 94588-4001

Mailing address

5565 W Las Positas Blvd Ste 130
Pleasanton, CA 94588-4001
Phone (925) 315-9456

Other practice location 1

15 Cliff St
apt 25F
New York, NY 10038-2859
Phone (412) 498-5450

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180810003002 CA Practitioner - Neurology 2062714579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 450
Mountain View, CA 94040-4171
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT195771PAMDInternal Medicine Physician
265076-1NYMDCritical Care Medicine (Internal Medicine) Physician
A155340CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Sep 18, 2022 Accepting new patients
Bay Area Neurointensivists Inc Critical Care Medicine CurrentSince Jun 13, 2022 Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4617

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

323 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 430-5335

Interoperability endpoints

  • Direct secure messaging: pbhalla143653@icare.elcaminohospital.org

Organizations & group practices 5

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 3

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1730317710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 130",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-315-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 130",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-315-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Cliff St",
            "address_2": "apt 25F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382859",
            "country_code": "US",
            "telephone_number": "412-498-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "PAULOMI",
        "middle_name": "KADAKIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT195771",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "265076-1",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A155340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1150 Veterans Blvd",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940632037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.