GAURAV BHALLA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1457616120

GAURAV BHALLA (M.D.) is a healthcare provider. based in Fort gratiot, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301100838 (MI). The NPI Number for GAURAV BHALLA (M.D.) is 1457616120

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
GAURAV BHALLA (M.D.)
NPI
1457616120
Phone
(810) 216-4200
Address
4190 24TH AVE STE 201
Enumeration Date
9 July 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102164000
Graduation Year
2010 (16 years ago)
PAC ID
0244505170
Group Practice PAC ID
0840507802
Professional Enrollment ID
I20171003006805
Address ID
MI480593884FO4190XAVEX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for GAURAV BHALLA (M.D.)

  • 4190 24TH AVE STE 201

    FORT GRATIOT, MI 480593884

    Phone: (810) 216-4200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 171 Open Payments records for all available years, with a total value of $2,713.

Total Amount is formed as General ($2,713) + Research ($0) + Ownership ($0) = $2,713.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novo Nordisk Inc ($461).

Total Amount

$2,713

General + Research + Ownership

Payments

171

Total payment records

General Amount

$2,713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2017-10-03

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
I20171003006805IInternal MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes489290$0
82962Blood glucose (sugar) test performed by hand-held instrument221108$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report12568$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9826$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional6520$0
View full utilization report →

Insurance plans in this area (ZIP 48059)

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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: 0840507802View full group profile
NameSpecialtyState
General SurgeryMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
-MI
U R O L O G YMI
General SurgeryMI
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check GAURAV BHALLA (M.D.) using NPI 1457616120?
NPI 1457616120 belongs to GAURAV BHALLA (M.D.); compare other details if you need extra assurance.
Would GAURAV BHALLA (M.D.) appear as active to a payer?
You can treat GAURAV BHALLA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is GAURAV BHALLA (M.D.)?
GAURAV BHALLA (M.D.) is associated with Endocrinology, Diabetes & Metabolism Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is GAURAV BHALLA (M.D.) registered?
Use Fort Gratiot, Michigan as the headline location for GAURAV BHALLA (M.D.) here.
Does GAURAV BHALLA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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