KUSH BHORANIA M.D.
NPI 1982023180
Internal Medicine in Worcester, MA
NPI Status: Active since April 15, 2014
Contact Information
119 BELMONT ST
WORCESTER, MA
ZIP 01605
Phone: (508) 334-8515
Fax: (508) 334-6490
- Individual
- Male
- Years of Experience 12
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KUSH BHORANIA
This page provides the complete NPI Profile along with additional information for Kush Bhorania, an internist established in Worcester, Massachusetts with a medical specialization in Internal Medicine and more than 12 years of experience. He graduated from Florida State University College Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1982023180 assigned on April 2014. The practitioner's primary taxonomy code is 207R00000X with license number 281193 (MA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1982023180
- Provider Name
- KUSH BHORANIA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 119 BELMONT ST WORCESTER, MA 01605
- Location Phone
- (508) 334-8515
- Location Fax
- (508) 334-6490
- Mailing Address
- PO BOX 415348 BOSTON, MA 02241
- Mailing Phone
- (800) 225-8885
- Mailing Fax
- (508) 334-6490
- Medical School Name
- FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2014
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-15-2014
- Last Update Date
- 09-17-2021
- Code Navigator
An internist like Kush Bhorania is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 55 Lake Ave N
Worcester, MA 01655
(508) 334-8515 - 157 Union St
Marlborough, MA 01752
(508) 486-5678
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 281193
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kush Bhorania is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kush Bhorania 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
PECOS PAC ID: 1951676956
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20190925000339
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
4 DME suppliers used 26 Medicare Claims 26 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
4 DME suppliers used 26 Medicare Claims 26 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up observation care per day, typically 25 minutes
Hospital discharge day management, more than 30 minutes
Hospital observation care on day of discharge
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 205 times for 88 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 464 times for 186 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 74 times for 57 patientsFollow-up observation care is a daily service where your health progress is monitored for about 25 minutes. It's a routine check to ensure your treatment is effective and to adjust if necessary. It's a crucial part of your healthcare journey.
This service was performed 15 times for 15 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 78 times for 78 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01605 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kush Bhorania is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LAWRENCE GENERAL HOSPITAL | ONE GENERAL STREET LAWRENCE, MA 01842 | (978) 683-4000 | Acute Care Hospitals | |
| NORTH SHORE MEDICAL CENTER - | 81 HIGHLAND AVENUE SALEM, MA 01970 | (978) 741-1215 | Acute Care Hospitals |
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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 | 9 | 8 | 2 | 0 | 2 | 3 | 1 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 0 | 2 | 6 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 0 + 2 + 6 + 1 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1982023180 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689661373 | JOEL WEINER M.D. Individual | Specialist | 119 BELMONT ST WORCESTER, MA 01605 (508) 334-6206 |
| 1275520439 | JAMES HERBERT CHESEBRO M.D. Individual | Internal Medicine (Cardiovascular Disease) | 119 BELMONT ST WORCESTER, MA 01605 (508) 793-6381 |
| 1407847643 | DR. MACHELLE M SEIBEL M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 119 BELMONT ST DEPARTMENT OF OBSTETRICS & GYNECOLOGY WORCESTER, MA 01605 (508) 334-5678 |
| 1336130509 | HARRISON G. BALL M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 119 BELMONT ST DEPARTMENT OF GYNECOLOGIC ONCOLOGY WORCESTER, MA 01605 (508) 334-1160 |
| 1982685061 | DR. EDWARD G PESKIN M.D. Individual | Obstetrics & Gynecology (Obstetrics) | 119 BELMONT ST DEPARTMENT OF OBSTETRICS & GYNECOLOGY WORCESTER, MA 01605 (508) 334-6255 |
| 1396726220 | DR. MARIA M GARCIA M.D. Individual | Internal Medicine | 119 BELMONT ST DEPARTMENT OF HOSPITAL MEDICINE WORCESTER, MA 01605 (508) 334-8515 |
| 1326020546 | EDWARD D FOLLAND M.D. Individual | Internal Medicine (Cardiovascular Disease) | 119 BELMONT ST DEPARTMENT OF CARDIOVASCULAR MEDICINE WORCESTER, MA 01605 (508) 334-6489 |
| 1730161761 | DR. CHRISTOPHER M AVERY D.O. Individual | Emergency Medicine | 119 BELMONT ST DEPARTMENT OF EMERGENCY MEDICINE WORCESTER, MA 01605 (508) 334-5559 |
| 1275515090 | STEPHEN P KAPAON M.D. Individual | Anesthesiology | 119 BELMONT ST WORCESTER, MA 01605 (508) 334-6491 |
| 1558343368 | MAHMOUD ALIOUCHE M.D. Individual | Anesthesiology | 119 BELMONT ST WORCESTER, MA 01605 (508) 334-6491 |
| 1811979628 | NICHOLAS J BARNARD M.D. Individual | Anesthesiology | 119 BELMONT ST WORCESTER, MA 01605 (508) 334-6491 |
| 1093797417 | DR. SHELAGH E.G. MCCAULEY M.D. Individual | Radiology (Radiation Oncology) | 119 BELMONT ST DEPARTMENT OF RADIATION ONCOLOGY WORCESTER, MA 01605 (508) 334-6550 |
| 1023091196 | DR. CRAIG A PATERSON M.D. Individual | Surgery | 119 BELMONT ST DEPARTMENT OF GENERAL SURGERY WORCESTER, MA 01605 (508) 334-8195 |
| 1881677789 | DR. JASEN W GUNDERSEN M.D. Individual | Family Medicine | 119 BELMONT ST DEPARTMENT OF FAMILY HOSPITAL MEDICINE WORCESTER, MA 01605 (508) 334-5571 |
| 1811970874 | DR. JAMES F PASKAVITZ M.D. Individual | Psychiatry & Neurology (Neurology) | 119 BELMONT ST DEPARTMENT OF NEUROLOGY WORCESTER, MA 01605 (508) 334-6641 |
| 1457334211 | DR. MARY A VALLIERE M.D. Individual | Internal Medicine | 119 BELMONT ST DEPARTMENT OF PALLIATIVE CARE WORCESTER, MA 01605 (508) 334-8630 |
| 1679556351 | RAJ K ANAND M.D. Individual | Internal Medicine (Cardiovascular Disease) | 119 BELMONT ST DEPARTMENT OF CARDIOLOGY WORCESTER, MA 01605 (508) 334-1000 |
| 1104800465 | RICHARD J HORNER M.D. Individual | Internal Medicine (Hematology & Oncology) | 119 BELMONT ST DEPARTMENT OF HEMATOLOGY/ONCOLOGY WORCESTER, MA 01605 (508) 334-6093 |
| 1720062961 | DR. NORMAN E BEISAW M.D. Individual | Orthopaedic Surgery | 119 BELMONT ST DEPARTMENT OF ORTHOPEDIC SURGERY WORCESTER, MA 01605 (508) 334-6375 |
| 1689658734 | URSULA E. ANWER MD Individual | Psychiatry & Neurology (Neurology) | 119 BELMONT ST DEPARTMENT OF NEUROLOGY WORCESTER, MA 01605 (508) 334-6641 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982023180, enumerated in the NPI registry as an "individual" on April 15, 2014
The provider is located at 119 Belmont St Worcester, Ma 01605 and the phone number is (508) 334-8515
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 12 years of experience. He graduated from Florida State University College Of Medicine in 2014.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. 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.
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up observation care per day, typically 25 minutes, Hospital discharge day management, more than 30 minutes and Hospital observation care on day of discharge.
The practitioner is affiliated to the following hospital(s): LAWRENCE GENERAL HOSPITAL and NORTH SHORE MEDICAL CENTER -. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 15, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.