Dr Vishal Bhalani, MD - Medicare Urology in Cumming, GA

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Dr Vishal Bhalani, MD is a medicare enrolled "Urology" physician in Cumming, Georgia. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Urology. He is a member of the group practice Upson Surgical Associates, Llc and his current practice location is 960 Sanders Rd Ste 500, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 321-7227.

Dr Vishal Bhalani is licensed to practice in Georgia (license number 074749) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902025596.

Contact Information

Dr Vishal Bhalani, MD
960 Sanders Rd Ste 500,
Cumming, GA 30041-5978
(678) 321-7227
Not Available

Map and Direction




Physician's Profile

Full NameDr Vishal Bhalani
GenderMale
SpecialityUrology
Experience19 Years
Location960 Sanders Rd Ste 500, Cumming, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Vishal Bhalani attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1902025596
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 07/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365698347
  • Enrollment ID: I20151005002058

Medical Identifiers

Medical identifiers for Dr Vishal Bhalani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902025596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 125053804 (Illinois)Secondary
208800000XUrology 074749 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital
Upson Regional Medical CenterThomaston, GAHospital
Northside HospitalAtlanta, GAHospital

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 Vishal Bhalani allows following entities to bill medicare on his behalf.
Entity NameUpson Surgical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790076974
PECOS PAC ID: 2062690480
Enrollment ID: O20110706000402
Entity NameAdvanced Urology Institute Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073896510
PECOS PAC ID: 1759552607
Enrollment ID: O20110926000393
Entity NameThe Bhalani Urology Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174228688
PECOS PAC ID: 1254797640
Enrollment ID: O20230509001437

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 Vishal Bhalani 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 Vishal Bhalani, MD
960 Sanders Rd Ste 500,
Cumming, GA 30041-5978

Ph: (678) 321-7227		Dr Vishal Bhalani, MD
960 Sanders Rd Ste 500,
Cumming, GA 30041-5978

Ph: (678) 321-7227

Reviews and Comments


Urology Doctors in Cumming, GA

Anthony Hiffa,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041
Phone: 770-889-9737    

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.