Dr. Niraj Bhalani, DO
- Medicare services, 2024
- 95
- Medicare patients, 2024
- 60
- Part D claims, 2024
- 84
- Hospital affiliations
- 5
- Industry payments
- $1,206
- Practice address
- 921 Oak Park Blvd, Pismo Beach, CA 93449
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Coastal Surgical Institute - HOPD
Acute Care Hospital outpatient department · Pismo Beach, California
Find Dr. Bhalani's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Niraj Bhalani is an internist in Pismo Beach, California
Dr. Bhalani practices at Coastal Surgical Institute - HOPD in Pismo Beach, California.
Dr. Bhalani's NPI, 1255838363, was assigned on April 6, 2018. Dr. Bhalani graduated from WesternU College of Osteopathic Medicine of the Pacific in 2018. Dr. Bhalani holds California license 17979.
- NPI
- 1255838363NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4486190584
- NPI enumeration date
- April 6, 2018
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 34
- Medical school graduation
- 2018
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Niraj Bhalani practices at Coastal Surgical Institute - HOPD in Pismo Beach, California
Dr. Bhalani's primary practice is Coastal Surgical Institute - HOPD, at 921 Oak Park Blvd, Pismo Beach, CA 93449.
- Coastal Surgical Institute - HOPD921 Oak Park Blvd, Pismo Beach, CA 93449
Source: Dmand AI Affiliation Data
Dr. Niraj Bhalani is affiliated with 9 sites of care and 2 medical groups
Dr. Bhalani's primary practice is Coastal Surgical Institute - HOPD in Pismo Beach, California. Dr. Bhalani is also affiliated with Community Regional Medical Center. The medical group on file is Pacific Central Coast Health Centers Medical Group. Dmand AI also links Dr. Bhalani to 4 more hospitals, 2 group practices and clinics, 1 ambulatory surgery center and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Niraj Bhalani's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Bhalani practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Coastal Surgical Institute - HOPD | Available with a free account |
| +8 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Niraj Bhalani is one of 16,751 internists in California
Internal medicine is Dr. Bhalani's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Bhalani is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Bhalani's licenses on file in 2 states: California and Florida.
Specialties and state licenses
- Internal medicine, CaliforniaPrimary
- Florida license
Internists near Dr. Bhalani
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Niraj Bhalani billed Medicare for 95 services in 2024
CMS data shows 95 Medicare services from Dr. Bhalani across 5 procedure codes in 2024, for 60 Medicare patients. Medicare paid $8,369 for them.
Dr. Bhalani's Medicare services by type, 2024
- Office and hospital visits84
- Surgery11
Where Dr. Bhalani's Medicare services took place, 2024
- In an office8488%
- In a facility1112%
Dr. Bhalani compared with the California median for internists, 2024
- Dr. Bhalani
- California median
- Medicare services
- 95vs 36174% below
- Medicare patients
- 60vs 15160% below
- Part D claims
- 55vs 42187% below
Medians across 15,815 internists in California with Dmand AI profiles that report each measure.
Dr. Bhalani's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Bhalani and other internists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Niraj Bhalani treated 60 Medicare patients in 2024, average age 69
CMS counts 60 Medicare patients who saw Dr. Bhalani in 2024. The largest group is 65 to 74, with 28 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 45% are also on Medicaid. Their average risk score is 1.35, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Bhalani's median patient age at 56, with 59% women.
Dr. Bhalani's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Bhalani's Medicare patients by sex, 2024
- Women4168%
- Men1932%
Chronic conditions among Dr. Bhalani's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis50%
- Anxiety35%
- Diabetes35%
- Mood disorders25%
- Depression23%
- Ischemic heart disease22%
Share of Medicare patients with each condition. A patient can have several.
Dr. Bhalani's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 56
Patient panel by sex, all payers
- Women59%
- Men40%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Niraj Bhalani wrote 84 Medicare Part D claims in 2024
In 2024, Dr. Bhalani wrote 84 Medicare Part D claims for 59 patients. 77% of them were for generic drugs. CMS names the drug for 55 of them, across 3 drugs with 11 or more claims each, at $1,324 in total drug cost.
Dr. Bhalani's Part D claims by kind of drug, 2024
- Generic65 claims77%
- Brand-name19 claims23%
Dr. Bhalani's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Niraj Bhalani ranks in the 81st percentile for colonoscopy in Medicare
Dr. Bhalani accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Bhalani as offering telehealth. CMS counts 108 procedures of colonoscopy by Dr. Bhalani, more than 81% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Where Dr. Bhalani ranks in Medicare procedure volume
- Colonoscopy
- 81st percentile108 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 72nd percentile80 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. Niraj Bhalani received $1,206 in industry payments from 2021 to 2025
CMS Open Payments shows 47 general payments to Dr. Bhalani from 13 drug and device companies from 2021 to 2025. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $642.
General payments to Dr. Bhalani by program year, 2021 to 2025
Companies that paid Dr. Bhalani the most, 2021 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Niraj Bhalani graduated from WesternU College of Osteopathic Medicine of the Pacific
Dr. Bhalani graduated from WesternU College of Osteopathic Medicine of the Pacific in 2018.
- Medical school
- Board certified in internal medicine
- Board certified in gastroenterology
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Niraj Bhalani accepts plans from 7 insurance carriers
Dr. Bhalani is in network with 7 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Regence Health Plans
- CMS Medicare
- Elevance
Plan types Dr. Bhalani accepts, by number of carriers
- Medicare6
- PPO5
- HMO3
- POS2
- EPO1
Source: Dmand AI Insurance Network Data
Sources for Dr. Niraj Bhalani's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Niraj Bhalani
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Niraj Bhalani's NPI number?
Dr. Niraj Bhalani's NPI number is 1255838363. It was assigned on April 6, 2018, and it is active in the NPI Registry.
What kind of doctor is Dr. Niraj Bhalani?
Dr. Niraj Bhalani is an internist in Pismo Beach, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Niraj Bhalani practice?
Dr. Bhalani practices at 921 Oak Park Blvd, Pismo Beach, CA 93449. Dr. Bhalani's primary practice is Coastal Surgical Institute - HOPD in Pismo Beach, California. Dmand AI also links Dr. Bhalani to 4 hospitals, 2 group practices and clinics, 1 ambulatory surgery center and 1 medical group.
What is Dr. Niraj Bhalani's medical license number?
Dr. Bhalani holds California license 17979, one of the licenses on file in 2 states.
Which states has Dr. Niraj Bhalani been licensed in?
Dmand AI has state licenses on file for Dr. Bhalani in California (2020 to 2027) and Florida (2021 to 2026).
Which hospitals is Dr. Niraj Bhalani affiliated with?
Dr. Bhalani is affiliated with Community Regional Medical Center. Dmand AI links Dr. Bhalani to 4 more hospitals.
What medical group is Dr. Niraj Bhalani part of?
Dr. Bhalani is linked to Pacific Central Coast Health Centers Medical Group. Dmand AI links Dr. Bhalani to 1 more medical group.
Does Dr. Niraj Bhalani accept Medicare?
Yes. CMS data shows Dr. Bhalani billed Medicare for 95 services in 2024, and Dr. Bhalani accepts Medicare assignment.
Does Dr. Niraj Bhalani offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Bhalani as offering telehealth services.
How many Medicare patients does Dr. Niraj Bhalani see?
CMS counts 60 Medicare patients who saw Dr. Bhalani in 2024, with an average age of 69.
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Is Dr. Niraj Bhalani board certified?
Yes. Dr. Bhalani is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Niraj Bhalani bill to Medicare?
In 2024, Dr. Bhalani's most billed Medicare services were office visit, new patient (99203), office visit, established patient (99213) and office visit, new patient (99204).
Where did Dr. Niraj Bhalani go to medical school?
Dr. Bhalani graduated from WesternU College of Osteopathic Medicine of the Pacific in 2018.
What drugs does Dr. Niraj Bhalani prescribe most?
In 2024 Medicare Part D data, Dr. Bhalani's most prescribed drugs by claims were Gavilyte-G, Sod Sulf-Potass Sulf-Mag Sulf and Pantoprazole Sodium.
Has Dr. Niraj Bhalani received payments from drug or device companies?
CMS Open Payments shows $1,206 in general payments to Dr. Bhalani from 13 companies from 2021 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Niraj Bhalani been practicing?
Dr. Bhalani graduated from medical school in 2018, 8 years ago.
What insurance does Dr. Niraj Bhalani accept?
Dr. Bhalani is in network with 7 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.
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