Kirit Bhalani, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME69468 Issued in FL

Practice address

325 Clyde Morris Blvd
Suite 400
Ormond Beach, FL 32174

Phone

(386) 671-0600

Fax

(386) 677-9710

NPI assigned

Jul 14, 2006

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• PRC Associates LLC

  • Pain Medicine Physician
  • Daytona Beach, FL
  • NPI 1558310128
  Medicare reassignment
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1942226907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 400",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 400",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Dunlawton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274252",
            "country_code": "US",
            "telephone_number": "386-756-2223",
            "fax_number": "386-756-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Pine Cone Dr Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378683",
            "country_code": "US",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALANI",
        "first_name": "KIRIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME69468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015306200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00447032",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250637800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME WESLEY CHAPEL LOCATION",
            "identifier": "1811363732",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME ORMAND BEACH",
            "identifier": "1740385350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Best, M.D.
• Timothy Best
• William Allen Bethea Jr., DO
• Jodie Bevel, RPH
• BGR Acquisition, LLC (Apex Home Health Care)
• Terri L Bianchi, ARNP
• Mark James Bigelow, LMT
• Paul Bigenho, APRN
• Margaret Dawn Billings, LMHC
• Katherine Marie Billiot, PSY.D.

• Pain Medicine (Anesthesiology) Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.