Active NPI 1942676267 Individual Practitioner Male Practitioner

Dr. Vipulkumar M. Bhalara , MD

Internal Medicine - Nephrology • Wayne, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vipulkumar Bhalara, MD is a certified Internal Medicine - Nephrology practicing in Wayne, NJ. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Bhalara delivers high-quality medical care to the local community at 246 HAMBURG TPKE STE 207.

Dr. Bhalara is affiliated with North Jersey Nephrology Assoc. Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

246 Hamburg Tpke Ste 207

Wayne, NJ 074702160

Telephone 9736533366

Fax 9736533365

Associated Practice Facility / Clinic

🏢 North Jersey Nephrology Assoc. Pa Facility NPI 1801906896

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Wayne, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -10.8 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 29.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Wayne, NJ (447 Statewide)

Telehealth Adoption Rate

45.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bhalara (18 Years) 18 Yrs

Wayne Specialty Average (28.8 Years) 28.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	821	266	$191.42	$83.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	96	$264.37	$125.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	96	$491.73	$183.01
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	79	17	$751.39	$376.17
90935 Hemodialysis procedure with physician evaluation	67	43	$282.39	$74.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	507	198	$234.81	$84.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	473	239	$338.37	$128.92
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	115	45	$990.00	$383.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	104	$662.88	$187.88
90935 Hemodialysis procedure with physician evaluation	60	34	$200.00	$77.15
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	12	11	$805.83	$319.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	804	280	$234.81	$77.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	407	200	$338.37	$111.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	94	$662.88	$215.51
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	77	38	$990.00	$396.57
90935 Hemodialysis procedure with physician evaluation	72	47	$200.00	$79.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$449.97	$147.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	563	209	$234.81	$78.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	255	138	$338.37	$111.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	85	$662.88	$215.40
90935 Hemodialysis procedure with physician evaluation	62	39	$200.00	$79.36
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	55	32	$990.00	$389.27
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	13	13	$820.00	$328.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$449.97	$147.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	736	270	$234.81	$79.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	81	$338.37	$114.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	95	$662.88	$221.43
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	65	31	$990.00	$315.45
90935 Hemodialysis procedure with physician evaluation	53	34	$200.00	$80.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	29	$127.74	$42.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$449.97	$149.57
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	23	19	$820.00	$264.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	105	$234.81	$78.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	37	$338.37	$111.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$662.88	$217.09
90935 Hemodialysis procedure with physician evaluation	27	19	$200.00	$78.55

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License NJ 25MA10610100

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3HZN10435320 (NJ)

Hospital & Practice Group Affiliations

North Jersey Nephrology Assoc. Pa

246 Hamburg Tpke, Wayne, NJ 074702160

Phone: 9736533366

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Dr. Anuradha Konkesa , MD

Internal Medicine - Nephrology

NPI 1013908268

Doctor of Medicine (M.D.)

Dr. Harjinder Saini , MD

Internal Medicine - Nephrology

NPI 1134147531

Doctor of Medicine (M.D.)

Dr. Chnadra Chandran , MD

Internal Medicine - Nephrology

NPI 1164413266

Doctor of Medicine (M.D.)

Lauren Letizia , APN

Nurse Practitioner

NPI 1215397377

Advanced Practice Nurse

Dr. Alicia Notkin , MD

Internal Medicine - Nephrology

NPI 1346428950

Doctor of Medicine (M.D.)

Dr. Ananth Prakash , MBBS

Internal Medicine - Nephrology

NPI 1437269909

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 09, 2019

Registered at 246 HAMBURG TPKE STE 207, WAYNE, NJ 074702160 (Tel: 9736533366)

📍

Updated Business Mailing Address October 09, 2019

Registered at 246 HAMBURG TPKE STE 207, WAYNE, NJ 074702160 (Tel: 9736533366)

👤

Provider Name / Credentials Updated October 09, 2019

Recorded as VIPULKUMAR BHALARA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Internal Medicine (License #25MA10610100 in NJ)

✅

NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2015

Registered at 355 GRAND ST, N/A, JERSEY CITY, NJ 073024321 (Tel: 2019152000)

📍

Updated Business Mailing Address August 20, 2015

Registered at BAL KRUSHNA 17 JALARAM SOCI., BHOJRAJPARA, GONDAL, GUJARAT 360311 (Tel: 9909999082)

👤

Provider Name / Credentials Updated August 20, 2015

Recorded as VIPULKUMAR BHALARA, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Student in an Organized Health Care Education/Training Program (License #$$$$$$$$$ in NJ)

🟢

Initial NPI Registration & Enumeration August 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942676267

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2015

Last Update: October 09, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

246 Hamburg Tpke Ste 207

Wayne, NJ 074702160

Phone: 9736533366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.