Nina Bhambhani, M.D.
NPI 1831147545 · Rheumatology Physician · East Stroudsburg, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nina Bhambhani, M.D. is a Rheumatology Physician provider in East Stroudsburg, PA (NPI 1831147545).
Provider details
- NPI number
- 1831147545
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 237936 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
624 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 427 | $120 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 110 | $159 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $84 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 35 | $53 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 13 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 378 | 105 |
| Hydroxychloroquine Sulfate | 372 | 103 |
| Prednisone | 253 | 71 |
| Colchicine | 179 | 69 |
| Sulfasalazine | 159 | 61 |
| Leflunomide | 112 | 41 |
| Leucovorin Calcium | 91 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$8,112 across 15 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
Additional practice locations (1)
- 11220 72nd DrForest Hills, NY 11375-5631Phone: (718) 441-3900Fax: (718) 480-8781
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Frequently asked questions
- What is Nina Bhambhani's NPI number?
- Nina Bhambhani's National Provider Identifier (NPI) is 1831147545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nina Bhambhani's specialty?
- Nina Bhambhani is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Nina Bhambhani located?
- Nina Bhambhani's practice location on file with NPPES is 505 Independence Rd, East Stroudsburg, PA 18301-7916.
- What is Nina Bhambhani's phone number?
- The practice phone number listed in the NPPES registry for Nina Bhambhani is (610) 776-5038.
- Does Nina Bhambhani accept Medicare?
- Nina Bhambhani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nina Bhambhani's NPI active?
- Yes — Nina Bhambhani's NPI (1831147545) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.