Rajneesh K Bhalla MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71005 Issued in FL

Legal business name

RAJNEESH K BHALLA MD PA

Practice address

1701 SE Hillmoor Dr
Suite C-12
Port Saint Lucie, FL 34952-7541

Phone

(772) 398-8844

Fax

(772) 398-0012

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Rajneesh K Bhalla, MDNPI 1326062167

Title

President

Phone

(772) 398-8844

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajneesh K Bhalla, MD

  • Internal Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1326062167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1821320789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE C-12",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527541",
            "telephone_number": "772-398-8844",
            "fax_number": "772-398-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE C-12",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527541",
            "telephone_number": "772-398-8844",
            "fax_number": "772-398-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJNEESH K BHALLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BHALLA",
        "authorized_official_first_name": "RAJNEESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-398-8844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009389600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Quirit, M.D.
• R&T Medical Dba Dependable Medical Supply, Inc.
• Radiant Care Transport
• Rai Care Centers of Florida I, LLC
• Remo Raina, M.D.
• Cindy Ramaker, RN
• Deborah Patterson Ramirez, MA
• Eric Matthew Ramirez, BCBA
• Choondai Asha Ramlall, FNP
• Claudia Ramos Lopez

• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.