Vipulkumar Bhalara, MD
NPI 1942676267 · Nephrology Physician · Wayne, NJ
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vipulkumar Bhalara, MD is a Nephrology Physician provider in Wayne, NJ (NPI 1942676267).
Provider details
- NPI number
- 1942676267
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10610100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 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
1,190 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 | 821 | $83 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 120 | $125 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 103 | $183 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 79 | $376 |
| Hemodialysis Procedure With Physician Evaluation90935 | 67 | $75 |
Typical Medicare-allowed amounts for these services range $75–$376 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 10 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Parenteral Amino Acid 20% No.1brand: Prosol | 116 |
| Gabapentin | 18 |
| Amlodipine Besylate | 14 |
| Pantoprazole Sodium | 14 |
| Sevelamer Carbonate | 14 |
| Calcium Acetate | 12 |
| Furosemide | 12 |
| Hydralazine Hcl | 12 |
| Lisinopril | 12 |
| Sodium Zirconium Cyclosilicate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2019-10-09
Frequently asked questions
- What is Vipulkumar Bhalara's NPI number?
- Vipulkumar Bhalara's National Provider Identifier (NPI) is 1942676267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vipulkumar Bhalara's specialty?
- Vipulkumar Bhalara is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Vipulkumar Bhalara located?
- Vipulkumar Bhalara's practice location on file with NPPES is 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160.
- What is Vipulkumar Bhalara's phone number?
- The practice phone number listed in the NPPES registry for Vipulkumar Bhalara is (973) 653-3366.
- Does Vipulkumar Bhalara accept Medicare?
- Vipulkumar Bhalara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vipulkumar Bhalara's NPI active?
- Yes — Vipulkumar Bhalara's NPI (1942676267) is active in the NPPES registry as of the last update on 2019-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.