TEJALBEN H BAKHTIANI – Family Nurse Practitioner, NPI 1417316852
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for TEJALBEN H BAKHTIANI
17197 N LAUREL PARK DR STE 107
LIVONIA, MI 481527910
Phone:
Type: Mailing
801 Saint Marys Dr
Evansville, IN 477140511
Phone: (812) 485-5388
Type: Location
100 ST MARYS EPWORTH XING STE B100
NEWBURGH, IN 476309497
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Abbott Laboratories ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $101 |
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: 2021-11-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211130000923 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48152)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | ME | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ME | |
| Family Practice | ME | |
| - | ME | |
| P O D I A T R Y | ME | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CA | |
| Nurse Practitioner | IN | |
| - | ME | |
| Physician Assistant | TN |
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