DR. SIDDHARTH PAHWA
NPI 1003398207
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Louisville, KY

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202(502) 588-7600 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2021, Oct 8, 2020, Jul 7, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Siddharth Pahwa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIDDHARTH PAHWA (NPI 1003398207) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Louisville, Kentucky, licensed in Kentucky (FL060) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003398207
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SIDDHARTH PAHWA
Location Address201 ABRAHAM FLEXNER WAY STE 1200Louisville, KY 40202-3841
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0325
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 4, 2018
Last NPPES UpdateDecember 7, 20214 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1003398207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in KY · FL060
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License FL060 (KY)
201 ABRAHAM FLEXNER WAY STE 1200, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Siddharth Pahwa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698027092
PECOS Enrollment IDI20200713002263
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
30 services30 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
25 services25 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Surgery (Vascular Surgery)
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Anesthesiology
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Internal Medicine (Critical Care Medicine)
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Nurse Practitioner
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siddharth Pahwa's NPI number?

The NPI number for Siddharth Pahwa is 1003398207. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Siddharth Pahwa located?

Siddharth Pahwa practices at 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202. The listed phone number is (502) 588-7600.

What is Siddharth Pahwa's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Siddharth Pahwa enrolled in Medicare?

Yes. Siddharth Pahwa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Siddharth Pahwa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Siddharth Pahwa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Siddharth Pahwa affiliated with any hospitals?

According to CMS data, Siddharth Pahwa is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Siddharth Pahwa was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.