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Nalini Bhat, MD

Pathology · San Jose

NPI 1275605024

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
4

Offices

4 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Bhat’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A47791 · Current

Licensed to practise in California · since 1989 · expires 2027-12-31 · University of Delhi, Maulana Azad Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$979

Medicare paid this office $979 for 16 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

16 Original Medicare patients in 2024. Average age 67 · 85 and older 0% · Health risk score 1.61. Above the middle of the specialty; the typical pathology clinician is at 1.55.

The office billed $7,890, Medicare allowed $1,327 and paid $979; for 36 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241636671.61$7,890$979
20232554661.21$11,398$1,464
20221849611.60$12,642$1,596
20211644711.47$9,666$1,294
20201117642.73$3,446$462
20191341713.91$8,132$1,378
20181129711.70$3,363$932
20171641692.36$3,983$1,160
20161325632.69$3,138$960
20151126671.45$3,813$1,018

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Pathology examination of tissue using a microscope, intermediate complexity13$1,053$32

Medicaid work

$14,178 in 2024

Medicaid paid $14,178 for 124 billed services this clinician did in 2024, up to 18 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
TISSUE EXAM BY PATHOLOGIST124$14,178
Medicaid work by year
2024124118$14,178
2023112123$33
202283114$374
202148120$30
201912112$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST112$33

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST83$374

2021

Largest Medicaid services in 2021
TISSUE EXAM BY PATHOLOGIST48$30

2019

Largest Medicaid services in 2019
TISSUE EXAM BY PATHOLOGIST12$0

Professional record

NPI
1275605024
Licence
CA A47791California A47791: Current · expires 2027-12-31
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A477910
Taxonomy
Federal specialty code 207ZP0101X (207ZP0101X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-11-15
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.