KUNAL N BODIWALA MD
NPI 1043496789
Internal Medicine - Cardiovascular Disease in Wormleysburg, PA

Active since January 11, 2008PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1000 N FRONT ST, WORMLEYSBURG, PA 17043(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Kunal N Bodiwala Md NPPES

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

KUNAL N BODIWALA MD (NPI 1043496789) is an individual cardiovascular disease provider in Wormleysburg, Pennsylvania, licensed in Kentucky (41663) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043496789
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKUNAL N BODIWALACredential: MD
Location Address1000 N FRONT STWormleysburg, PA 17043
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612
Fax(717) 731-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 11, 2008
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1043496789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in KY · 41663 Licensed in PA · MD461442
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 41663 (KY)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD461442 (PA)
1000 N FRONT ST, Wormleysburg, PA 17043

Secondary Practice Locations 4

Location 11302 Franklin Ave, Suite 4500Normal, IL 61761-3551 · Phone (309) 556-8300 · Fax (309) 556-8293
Location 2900 Century Dr Ste 100Mechanicsburg, PA 17055-4525 · Phone (717) 591-3660 · Fax (717) 591-3661
Location 3360 Alexander Spring RdCarlisle, PA 17015-9129 · Phone (717) 243-6557 · Fax (717) 243-0102
Location 42808 Old Post RdHarrisburg, PA 17110-3685 · Phone (717) 920-4400 · Fax (717) 920-4401

Other Identifiers 4

Medicaid7100040960KY
Other000000545252KY · Blue Cross
Medicaid0000000IL
Medicaid103315900PA

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

Kunal N Bodiwala Md 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 ID2062591704
PECOS Enrollment IDI20170816002786
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 29

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
4,694 services3,045 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.
156 services141 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
141 services140 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
98 services98 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
70 services69 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.
62 services48 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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 (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Physician Assistant (Medical)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043

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 Kunal Bodiwala's NPI number?

The NPI number for Kunal Bodiwala is 1043496789. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Kunal Bodiwala located?

Kunal Bodiwala practices at 1000 N Front St, Wormleysburg, PA 17043. The listed phone number is (717) 731-0101.

What is Kunal Bodiwala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kunal Bodiwala enrolled in Medicare?

Yes. Kunal Bodiwala 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.

Is Kunal Bodiwala affiliated with any hospitals?

According to CMS data, Kunal Bodiwala is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Kunal Bodiwala was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.