Individual provider Active NPI

Salim Bhaloo, D.O.

  • Otolaryngology Physician
  • Granbury, TX
National Provider Identifier
1881672285
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L1270 Issued in TX
Practice address
4425 E US Highway 377 Ste 104
Granbury, TX 76049-7475
Phone
(682) 936-4081
Fax
(817) 570-0704
NPI assigned
Jan 5, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L1270 TX Primary
Otolaryngic Allergy Physician 207YX0602X L1270 TX
Facial Plastic Surgery Physician 207YS0123X L1270 TX

Addresses

Primary practice location

4425 E US Highway 377 Ste 104
Granbury, TX 76049-7475

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other practice location 1

920 Santa Fe Dr
Weatherford, TX 76086-5864
Phone (682) 936-4081

Other identifiers 2

IdentifierTypeStateIssuer
171536901MedicaidTX
8F0718OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041014001223 TX Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Ophthalmology 2466412382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1212 Cedar Lake Rd
200 Privia Med GRP N TX
Weatherford, TX 76086-5878
Phone (817) 423-8585

4425 E US Hwy 377 104
Privia Medical Group North Texas
Granbury, TX 76049-7475
Phone (817) 382-2273

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

933 Hilltop Dr
Weatherford, TX 76086-8807
Phone (817) 339-8855

Glen Rose Medical Ctr 1021 Holden S
Privia Medical Group North Texas
Glen Rose, TX 76043-4842
Phone (254) 897-3369

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as apm
Quality
85.62
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, PLLC Otolaryngology CurrentSince Jan 29, 2023 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. Otolaryngology CurrentSince Nov 1, 2019 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 1, 2019 Accepting new patients
Freedom Pain Care LLC Past Accepting new patients
Timberland Medical Group Past Accepting new patients
Texas Sinus and Allergy Otolaryngology/Facial Plastic Surgery Past Accepting new patients

Locations

1200 Crawford Ave
Ste B
Granbury, TX 76048
Phone (254) 968-6051

4425 E US Highway 377
Ste 104
Granbury, TX 76049
Phone (682) 936-4081

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

933 Hilltop Dr
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: salim.bhaloo.p1@direct.thc.nextgenshare.com

Organizations & group practices 7

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 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1881672285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E US HIGHWAY 377 STE 104",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497475",
            "telephone_number": "682-936-4081",
            "fax_number": "817-570-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865864",
            "country_code": "US",
            "telephone_number": "682-936-4081",
            "fax_number": "817-570-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALOO",
        "first_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L1270",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "TX",
            "license": "L1270",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "L1270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171536901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F0718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.