Dr Nina Bhambhani, MD - Medicare Rheumatology in East Stroudsburg, PA

Dr Nina Bhambhani, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in East Stroudsburg, Pennsylvania. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Lehigh Valley Physician Group and her current practice location is 505 Independence Rd, East Stroudsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 776-5038.

Dr Nina Bhambhani is licensed to practice in Pennsylvania (license number MD481390) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831147545.

Contact Information

Dr Nina Bhambhani, MD
505 Independence Rd,
East Stroudsburg, PA 18301-7916
(610) 776-5038
Not Available

Map and Direction




Physician's Profile

Full NameDr Nina Bhambhani
GenderFemale
SpecialityRheumatology
Experience23 Years
Location505 Independence Rd, East Stroudsburg, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nina Bhambhani graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1831147545
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739184060
  • Enrollment ID: I20230929000940

Medical Identifiers

Medical identifiers for Dr Nina Bhambhani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831147545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 237936 (New York)Secondary
207RR0500XInternal Medicine - Rheumatology 237936 (New York)Secondary
207RR0500XInternal Medicine - Rheumatology MD481390 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Hospital - PoconoEast stroudsburg, PAHospital
Lehigh Valley HospitalAllentown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231763

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nina Bhambhani allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nina Bhambhani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nina Bhambhani, MD
11220 72nd Dr,
Forest Hills, NY 11375-5631

Ph: (718) 441-3900
Dr Nina Bhambhani, MD
505 Independence Rd,
East Stroudsburg, PA 18301-7916

Ph: (610) 776-5038

Reviews and Comments


Internal Medicine Doctors in East Stroudsburg, PA

Omar Shaikh,
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 179 Independence Rd, East Stroudsburg, PA 18301
Phone: 570-421-8526    Fax: 570-421-7899
Charles Fm Cohan, DO FACP
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 175 East Brown Street, Suite 115, East Stroudsburg, PA 18301
Phone: 570-424-7764    Fax: 570-421-0760
Anil Gupta, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Plaza Court, Suite A, Pmc Physician Associates Cardiology, East Stroudsburg, PA 18301
Phone: 570-424-9970    Fax: 570-424-2899
Dr. Thomas Michael Papa, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 175 E Brown St, Suite 114, East Stroudsburg, PA 18301
Phone: 570-426-2301    Fax: 570-426-2306
Susheer Gandotra, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 175 E Brown St, Suite 114, East Stroudsburg, PA 18301
Phone: 570-426-2301    Fax: 570-426-2306
Bryan T Burke, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 206 E Brown St, 3rd Floor Hospitalist Office, East Stroudsburg, PA 18301
Phone: 570-476-3316    
Jeffrey F Bair, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 239 E Brown St, Medical Assoc Of Monroe County, East Stroudsburg, PA 18301
Phone: 570-421-3872    Fax: 570-424-6631

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.