Vipulkumar M Bhalara, MD - Medicare Nephrology in Wayne, NJ

Vipulkumar M Bhalara, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Wayne, New Jersey. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kidney Care Centers, North Jersey Nephrology Assoc. Pa and his current practice location is 246 Hamburg Tpke Ste 207, Wayne, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 653-3366.

Vipulkumar M Bhalara is licensed to practice in New Jersey (license number 25MA10610100) 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 1942676267.

Contact Information

Vipulkumar M Bhalara, MD
246 Hamburg Tpke Ste 207,
Wayne, NJ 07470-2160
(973) 653-3366
(973) 653-3365

Map and Direction




Physician's Profile

Full NameVipulkumar M Bhalara
GenderMale
SpecialityNephrology
Experience16 Years
Location246 Hamburg Tpke Ste 207, Wayne, New Jersey
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:
  • Vipulkumar M Bhalara graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1942676267
  • Provider Enumeration Date: 08/20/2015
  • Last Update Date: 10/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1658603246
  • Enrollment ID: I20191031001532

Medical Identifiers

Medical identifiers for Vipulkumar M Bhalara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942676267NPI-NPPES
3HZN10435320MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 25MA10610100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Joseph's Sjrmc DialysisPaterson, NJDialysis facility
St. Joseph's Paterson DialysisPaterson, NJDialysis facility
St Joseph's Hospital And Medical CenterPaterson, NJHospital
Chilton Medical CenterPompton plains, NJHospital
St Mary's General HospitalPassaic, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kidney Care Centers620427944134
North Jersey Nephrology Assoc. Pa731590816716

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. Vipulkumar M Bhalara allows following entities to bill medicare on his behalf.
Entity NameNorth Jersey Nephrology Assoc. Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801906896
PECOS PAC ID: 7315908167
Enrollment ID: O20041025000565
Entity NameKidney Care Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689302424
PECOS PAC ID: 6204279441
Enrollment ID: O20240205003466

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. Vipulkumar M Bhalara 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
Vipulkumar M Bhalara, MD
246 Hamburg Tpke Ste 207,
Wayne, NJ 07470-2160

Ph: (973) 653-3366
Vipulkumar M Bhalara, MD
246 Hamburg Tpke Ste 207,
Wayne, NJ 07470-2160

Ph: (973) 653-3366

Reviews and Comments


Internal Medicine Doctors in Wayne, NJ

Dr. Philip John Filippis Ii, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 220 Hamburg Tpke, Suite 2, Wayne, NJ 07470
Phone: 973-389-9975    Fax: 973-389-9976
Bassam Emile Hashem, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 224 Hamburg Tpke Ste 4023, Wayne, NJ 07470
Phone: 727-501-5729    Fax: 201-389-3619
Anuradha R Konkesa, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 246 Hamburg Tpke Ste 207, Wayne, NJ 07470
Phone: 973-653-3366    Fax: 973-653-3365
Dr. Barry Schair, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 246 Hamburg Tpke, Suite 201, Wayne, NJ 07470
Phone: 973-942-1141    Fax: 973-942-1250
Dr. Michael Hubert Leonardo,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470
Phone: 973-942-6005    Fax: 973-942-6009
Dr. Bonnie Kingman Cheng, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1825 Route 23, Wayne, NJ 07470
Phone: 973-633-1484    Fax: 973-633-7980
Dr. Sameer Anor Azhak, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 246 Hamburg Tpke, Suite 201, Wayne, NJ 07470
Phone: 973-942-1141    Fax: 973-942-1250

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.