Mitesh Bhalala, MD
NPI 1639497514 · Gastroenterology Physician · Taunton, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitesh Bhalala, MD is a Gastroenterology Physician provider in Taunton, MA (NPI 1639497514).
Provider details
- NPI number
- 1639497514
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 266145 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
582 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 112 | $245 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $130 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 74 | $90 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 73 | $117 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 56 | $95 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 262 | 81 |
| Pantoprazole Sodium | 214 | 65 |
| Linaclotidebrand: Linzess | 71 | 15 |
| Famotidine | 45 | 13 |
| Dicyclomine Hcl | 43 | 14 |
| Sucralfate | 37 | 12 |
| Ustekinumabbrand: Stelara | 32 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$224 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mitesh Bhalala's NPI number?
- Mitesh Bhalala's National Provider Identifier (NPI) is 1639497514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitesh Bhalala's specialty?
- Mitesh Bhalala is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mitesh Bhalala located?
- Mitesh Bhalala's practice location on file with NPPES is 35 Summer St, Taunton, MA 02780-3469.
- What is Mitesh Bhalala's phone number?
- The practice phone number listed in the NPPES registry for Mitesh Bhalala is (508) 821-4100.
- Does Mitesh Bhalala accept Medicare?
- Mitesh Bhalala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitesh Bhalala's NPI active?
- Yes — Mitesh Bhalala's NPI (1639497514) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.