NPIMap

Individual provider Active NPI

Brajesh Bhatla, M.D.

  • Nephrology Physician
  • Harlingen, TX
National Provider Identifier
1821045600
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J9973 Issued in TX
Practice address
4402 E Sesame Dr
Harlingen, TX 78550-9290
Phone
(956) 412-1125
Fax
(956) 440-8854
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J9973 TX Primary

Addresses

Primary practice location

4402 E Sesame Dr
Harlingen, TX 78550-9290

Mailing address

PO Box 2835
Harlingen, TX 78551-2835
Phone (956) 412-1125

Other identifiers 2

IdentifierTypeStateIssuer
8P5560OtherTNBLUE CROSS BLUE SHEILD
110742704MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001378 TX Practitioner - NephrologyPractitioner - Internal Medicine 4587647250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brajesh Bhatla MD PAGroup PAC ID 7810968997, 2 clinicians

Practice addresses (Care Compare)

4402 E Sesame Dr
Harlingen, TX 78550-9290
Phone (956) 412-1125

Hospital & facility affiliations

  • Usrc Harlingen Dialysis Dialysis facility, Harlingen, TX, CCN 452817
  • Usrc San Benito Dialysis Dialysis facility, San Benito, TX, CCN 672514
  • USRC North Harlingen Dialysis Dialysis facility, Harlingen, TX, CCN 742574
  • DaVita Valley Baptist-Raymondville Dialysis Dialysis facility, Raymondville, TX, CCN 672674
  • DaVita Mercedes Dialysis Dialysis facility, Mercedes, TX, CCN 742550
  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033
  • Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Solara Specialty Hospitals Harlingen Long-term care hospital, Harlingen, TX, CCN 452101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9973TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brajesh Bhatla MD PA Nephrology CurrentSince Jun 7, 2004 Accepting new patients
Usrc San Benito Dialysis LTD PastSince Jun 16, 2005 Accepting new patients

Locations

4402 E Sesame Dr
Harlingen, TX 78550
Phone (956) 412-1125

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1821045600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2835",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785512835",
            "telephone_number": "956-412-1125",
            "fax_number": "956-440-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E SESAME DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509290",
            "telephone_number": "956-412-1125",
            "fax_number": "956-440-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATLA",
        "first_name": "BRAJESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J9973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "8P5560",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110742704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.