Individual provider Active NPI

Vishal Bhalani, M.D.

  • Urology Physician
  • Cumming, GA
National Provider Identifier
1902025596
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
074749 Issued in GA
Practice address
960 Sanders Rd Ste 500
Cumming, GA 30041-5978
Phone
(678) 321-7227
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125053804 IL
Urology Physician 208800000X 074749 GA Primary

Addresses

Primary practice location

960 Sanders Rd Ste 500
Cumming, GA 30041-5978

Mailing address

960 Sanders Rd Ste 500
Cumming, GA 30041-5978
Phone (678) 321-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151005002058 GA Practitioner - Urology 2365698347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

960 Sanders Rd
Suite 500
Cumming, GA 30041-5978
Phone (312) 576-4598

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
074749GAMDUrology Physician
125053804ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upson Surgical Associates, LLC CurrentSince Feb 13, 2023 Accepting new patients
Advanced Urology Institute of Georgia, PC Urology CurrentSince Oct 5, 2015 Accepting new patients
The Bhalani Urology Institute LLC Urology CurrentSince Jun 1, 2023 Accepting new patients
Advanced Urology Institute of Georgia Urology Current Accepting new patients
Advanced Urology Institute of Georgia Urology CurrentSince Oct 5, 2015 Accepting new patients
Lakefront Medical Associates LLC Urology Past Accepting new patients

Locations

960 Sanders Rd
Ste 500
Cumming, GA 30041
Phone (312) 576-4598

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1555 Janmar Rd
Snellville, GA 30078
Phone (404) 620-6159

612 W Gordon St
Ste E
Thomaston, GA 30286
Phone (706) 647-3030

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADIBDD/Endpoint/ADIBDD
  • FHIR API: https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADIBDD
  • Direct secure messaging: vishal.bhalani@au.gadirect.net

Organizations & group practices 6

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 5

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1902025596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415978",
            "telephone_number": "678-321-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SANDERS RD STE 500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415978",
            "telephone_number": "678-321-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALANI",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125053804",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "074749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.