MITESH S BHALALA (MD) – Gastroenterology Physician, NPI 1639497514

MITESH S BHALALA (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 266145 (MA). The NPI Number for MITESH S BHALALA (MD) is 1639497514

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MITESH S BHALALA (MD)
NPI
1639497514
Phone
(508) 588-6700
Address
189 QUINCY ST
Enumeration Date
17 May 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5085886700
Graduation Year
2010 (16 years ago)
PAC ID
5294021234
Group Practice PAC ID
9638107451
Professional Enrollment ID
I20160831000699
Address ID
MA023022967BR189XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

829 GASTROENTEROLOGY in MA

Provider Addresses for MITESH S BHALALA (MD)

  • 189 QUINCY ST

    BROCKTON, MA 023022967

    Phone: (508) 588-6700

    Fax: (508) 584-3010

    Type: Mailing

  • 35 SUMMER ST

    TAUNTON, MA 027803469

    Phone: (508) 821-4100

    Fax: (508) 822-2367

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $403.

Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($82).

Total Amount

$403

General + Research + Ownership

Payments

16

Total payment records

General Amount

$403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160831000699IGastroenterologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare103103$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9996$0
99214Established patient office or other outpatient visit, 30-39 minutes9380$0
45380Biopsy of large bowel using a flexible endoscope7272$0
99213Established patient office or other outpatient visit, 20-29 minutes5140$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638107451View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMI
Gastroenterology, Internal MedicineMA
Gastroenterology, Internal MedicineMA
Gastroenterology, Internal MedicineMA
G A S T R O E N T E R O L O G YMA
Nurse PractitionerMA
G A S T R O E N T E R O L O G YMA
Physician AssistantMA
-MA

Reviews

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Frequently asked questions

What federal number belongs to MITESH S BHALALA (MD)?
The federal identifier for MITESH S BHALALA (MD) is NPI 1639497514.
Is MITESH S BHALALA (MD)'s NPI currently valid?
The extract we use shows MITESH S BHALALA (MD) as active.
What kind of provider is MITESH S BHALALA (MD)?
The page reflects Gastroenterology Physician for MITESH S BHALALA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MITESH S BHALALA (MD)?
The snapshot lists Brockton, Massachusetts for MITESH S BHALALA (MD); download NPPES for the complete set.
How can I contact MITESH S BHALALA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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