DR. SUNIL BHOLE MD
NPI 1639231350
Physical Medicine & Rehabilitation in Duluth, GA
NPI Status: Active since December 16, 2006
Contact Information
3215 MCCLURE BRIDGE RD
DULUTH, GA
ZIP 30096
Phone: (678) 584-6786
Fax: (678) 584-6719
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
- Medicare Quality Reporting
About SUNIL BHOLE
This page provides the complete NPI Profile along with additional information for Sunil Bhole, a provider established in Duluth, Georgia with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1639231350 assigned on December 2006. The practitioner's primary taxonomy code is 208100000X with license number 024513 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1639231350
- Provider Name
- DR. SUNIL BHOLE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3215 MCCLURE BRIDGE RD DULUTH, GA 30096
- Location Phone
- (678) 584-6786
- Location Fax
- (678) 584-6719
- Mailing Address
- 8953 OLD SOUTHWICK PASS ALPHARETTA, GA 30022
- Mailing Phone
- (770) 664-7379
- Mailing Fax
- (678) 584-6719
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-16-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 024513
- License State
- GA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25BBFSL | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| D28921 | MEDICARE UPIN (02) | GA |
Medicare Participation & PECOS Enrollment Status
Sunil Bhole is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 3 | 1 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 3 | 2 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 3 + 2 + 3 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639231350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457521726 | JAY B BENDER Organization | Physical Medicine & Rehabilitation | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 584-6800 |
| 1184158016 | FLAVIA GALARRAGA R.D.N. Individual | Dietitian, Registered | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6042 |
| 1295898880 | ATLANTA REHABILITATION CONSULTANTS PC Organization | Physical Medicine & Rehabilitation | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 584-6786 |
| 1134168016 | NORTHSIDE HOSPITAL, INC. Organization | Rehabilitation Unit | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6000 |
| 1366858995 | DR. HAMMAD ASLAM M.D. Individual | Physical Medicine & Rehabilitation | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6010 |
| 1033525878 | UGO BITUSSI Individual | Physical Medicine & Rehabilitation | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (404) 673-0308 |
| 1205026648 | MARIA JULIANA ROCA MARTINEZ MD Individual | Internal Medicine | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6000 |
| 1740528785 | COMMUNITY MEDICAL CARE Organization | Internal Medicine | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (770) 539-4187 |
| 1891156337 | MS. CHRISTINA HOWARD MS, LAT, ITAT Individual | Specialist/Technologist (Athletic Trainer) | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (508) 280-0110 |
| 1427136779 | NEELIMA DACHURI MD Individual | Hospitalist | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (470) 325-0100 |
| 1598904740 | DR. MIGUEL B DELMAZO MD Individual | Surgery | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6200 |
| 1972105179 | MARIA MERCEDES HALL FNP-C Individual | Nurse Practitioner (Family) | 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 (678) 312-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639231350, enumerated in the NPI registry as an "individual" on December 16, 2006
The provider is located at 3215 Mcclure Bridge Rd Duluth, Ga 30096 and the phone number is (678) 584-6786
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on December 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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