2026 NPPES data Cardiovascular Disease Physician NPI 1255621447
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HEMAL BHATT

Cardiovascular Disease Physician in HACKENSACK, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
14
Medicare Part D claims · Cardiovascular Disease Physician avg: 3K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$469.04
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEMAL BHATT is a Cardiovascular Disease Physician ([object Object]) practicing in HACKENSACK, New Jersey with a Medicare Part D prescribing footprint of 14 claims . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $469.04 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEMAL BHATT reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 14 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HEMAL BHATT practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

HEMAL BHATT at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/09/2011

NPI 1255621447

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

14 100% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Cardiovascular Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Cardiovascular Disease Physician share within New Jersey

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within New Jersey

Medicare quality performance — MIPS

HEMAL BHATT's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Cardiovascular Disease Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

HEMAL BHATT is a Cardiovascular Disease Physician provider practicing in HACKENSACK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1255621447. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HEMAL BHATT appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider at 30 PROSPECT AVE, HACKENSACK, NJ, 07601, with a listed phone of (551) 996-3880. NPI 1255621447 was issued on 04/09/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHATT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 14 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

30 PROSPECT AVE
HACKENSACK, NJ 07601

Provider Details

NPI 1255621447
Specialty Cardiovascular Disease Physician
Gender Male
NPI Issued 04/09/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HEMAL BHATT bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VIRTUA MEDICAL GROUP, PA
CHERRY HILL, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for HEMAL BHATT. Source: openpaymentsdata.cms.gov.

Total received

$469

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

14
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20
Total Day Supply
575
Generic Drug Cost
$197

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
0.85

Cardiovascular Disease Physician Overview

How HEMAL BHATT fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

HEMAL BHATT's 14 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BHATT.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEMAL BHATT's specialty?
HEMAL BHATT specializes in Cardiovascular Disease Physician and practices in HACKENSACK, New Jersey.
How much does HEMAL BHATT prescribe under Medicare Part D?
In 2023, HEMAL BHATT wrote 14 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is HEMAL BHATT's Medicare quality score?
HEMAL BHATT has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEMAL BHATT located?
HEMAL BHATT is located at 30 PROSPECT AVE, HACKENSACK, NJ, 07601. Phone: (551) 996-3880.
What is HEMAL BHATT's NPI number?
HEMAL BHATT's National Provider Identifier (NPI) is 1255621447, issued on 04/09/2011.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
Does HEMAL BHATT accept Medicare?
HEMAL BHATT appears in CMS Medicare data with 14 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEMAL BHATT's credentials?
HEMAL BHATT's NPI is 1255621447. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology