VISHAL K TIWARI MD
NPI 1023155843
Internal Medicine in Springfield, MA

Active since January 31, 2007PECOS Enrolled
759 CHESTNUT ST, SPRINGFIELD, MA 01107(413) 794-6297(413) 794-1767 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2019, May 13, 2016 (2 updates tracked since 2016).

About Vishal K Tiwari Md NPPES

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

VISHAL K TIWARI MD (NPI 1023155843) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (237809) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023155843
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVISHAL K TIWARICredential: MD
Location Address759 CHESTNUT STSpringfield, MA 01107-1619
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-1767
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 18, 20192 updates tracked since enumeration
✔ NPI 1023155843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 237809
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License 237809 (MA)
759 CHESTNUT ST, Springfield, MA 01107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vishal K Tiwari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Vishal Tiwari reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
819 WORCESTER ST STE 1
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • 134 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST STE 1
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • 137 clinicians in this Medicare group
General Acute Care Hospital
575 BEECH ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 241 clinicians in this Medicare group
Internal Medicine
1962 MEMORIAL DRIVE
Chicopee, MA 01020
  • Reassigned Medicare billing, Massachusetts enrollment
  • 242 clinicians in this Medicare group
General Acute Care Hospital
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 394 clinicians in this Medicare group
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-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.
614 services335 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-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.
90 services67 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
71 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital 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.
53 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
52 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Pediatrics (Pediatric Critical Care Medicine)
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107

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 Vishal Tiwari's NPI number?

The NPI number for Vishal Tiwari is 1023155843. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Vishal Tiwari located?

Vishal Tiwari practices at 759 Chestnut St, Springfield, MA 01107. The listed phone number is (413) 794-6297.

What is Vishal Tiwari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vishal Tiwari enrolled in Medicare?

Yes. Vishal Tiwari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vishal Tiwari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Tiwari reassigns Medicare benefits to 6 organizations: Ch Specialty Services Ma PC (Springfield, MA), Curana Health Of Massachusetts LLC (Springfield, MA), Holyoke Medical Center, Inc. (Holyoke, MA), Western Mass Physician Associates Inc (Chicopee, MA), Berkshire Medical Center, Inc (Pittsfield, MA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vishal Tiwari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishal Tiwari accept?

Health plans from Taro Health list Vishal Tiwari 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.

When was this NPI record last updated?

The NPPES record for Vishal Tiwari was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.