Adarsh Bhimraj, M.D.
NPI 1316140106 · Infectious Disease Physician · Houston, TX
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adarsh Bhimraj, M.D. is a Infectious Disease Physician provider in Houston, TX (NPI 1316140106).
Provider details
- NPI number
- 1316140106
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- T7167 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
375 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 167 | $79 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 67 | $50 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 65 | $131 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 49 | $119 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 27 | $181 |
Typical Medicare-allowed amounts for these services range $50–$181 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Daptomycin | 14 |
| Ertapenem Sodiumbrand: Ertapenem | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Adarsh Bhimraj's NPI number?
- Adarsh Bhimraj's National Provider Identifier (NPI) is 1316140106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Adarsh Bhimraj's specialty?
- Adarsh Bhimraj is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Adarsh Bhimraj located?
- Adarsh Bhimraj's practice location on file with NPPES is 6560 Fannin St Ste 1540, Houston, TX 77030-2783.
- What is Adarsh Bhimraj's phone number?
- The practice phone number listed in the NPPES registry for Adarsh Bhimraj is (713) 799-9997.
- Does Adarsh Bhimraj accept Medicare?
- Adarsh Bhimraj is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Adarsh Bhimraj's NPI active?
- Yes — Adarsh Bhimraj's NPI (1316140106) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.