Sean Bhalla, M.D.
NPI 1912311325 · Gastroenterology Physician · Aurora, CO
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Bhalla, M.D. is a Gastroenterology Physician provider in Aurora, CO (NPI 1912311325).
Provider details
- NPI number
- 1912311325
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME151884 (FL)
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 tenure25% of score
12 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
417 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 81 | $83 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 72 | $54 |
| Removal of Stone Or Debris From Bile Or Pancreatic Duct Using a Flexible Endoscope43264 | 47 | $101 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 39 | $102 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43259 | 33 | $224 |
| Ultrasound Guided Needle Aspiration Or Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 61 | 31 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 56 | 47 |
| Famotidine | 38 | 17 |
| Pantoprazole Sodium | 27 | 17 |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,304 across 12 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
- 2014-06-13
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Sean Bhalla's NPI number?
- Sean Bhalla's National Provider Identifier (NPI) is 1912311325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Bhalla's specialty?
- Sean Bhalla is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Bhalla located?
- Sean Bhalla's practice location on file with NPPES is 1635 Aurora Ct, Aurora, CO 80045-2541.
- What is Sean Bhalla's phone number?
- The practice phone number listed in the NPPES registry for Sean Bhalla is (720) 848-0000.
- Does Sean Bhalla accept Medicare?
- Sean Bhalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Bhalla's NPI active?
- Yes — Sean Bhalla's NPI (1912311325) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.