VASUDEV MUKUNDRAI VIRPARIA M.D.
NPI 1043506884
Internal Medicine - Interventional Cardiology in Lancaster, PA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2160 STATE RD STE 1700, LANCASTER, PA 17601(223) 287-8155(717) 312-3153 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2022, Nov 6, 2019, Nov 27, 2018 and 1 more (4 updates tracked since 2018).

About Vasudev Mukundrai Virparia M.d. NPPES

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

VASUDEV MUKUNDRAI VIRPARIA M.D. (NPI 1043506884) is an individual interventional cardiology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD468748) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043506884
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameVASUDEV MUKUNDRAI VIRPARIACredential: M.D.
Location Address2160 STATE RD STE 1700Lancaster, PA 17601-1812
Mailing Address2160 State Rd Ste 1700Lancaster, PA 17601-1812 · (223) 287-8155 · Fax (717) 312-3153
Fax(717) 312-3153
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2011
Last NPPES UpdateNovember 16, 20224 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1043506884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in PA · MD468748✔ Licensed in NC · 2018-01098
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
2160 STATE RD STE 1700, Lancaster, PA 17601

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vasudev Mukundrai Virparia M.d. 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 ID2769736370
PECOS Enrollment IDI20191119002587, I20260414000804
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

9

Medicare enrollment records show Vasudev Virparia reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3045 MARIETTA AVE
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Cardiovascular Disease
2112 HARRISBURG PIKE STE 100
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
Family Medicine
2701 SHILLINGTON RD STE 200
Reading, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Interventional Cardiology
195 STOCK ST STE 305
Hanover, PA 17331
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
Cardiovascular Disease
740 HIGH ST, SUITE 2001
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Delaware enrollment
  • 58 clinicians in this Medicare group
Family Medicine
224 MEMORIAL BLVD
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
Cardiovascular Disease
2631 CENTENNIAL BLVD, SUITE 200
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
Cardiovascular Disease
1605 E BROADWAY
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 36 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 22

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.
1,693 services1,075 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.
353 services346 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.
211 services123 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.
188 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services90 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
93 services91 patients

Hospital Affiliations CMS Care Compare 4

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
2160 STATE RD STE 1700
LANCASTER, PA 17601

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 Vasudev Virparia's NPI number?

The NPI number for Vasudev Virparia is 1043506884. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Vasudev Virparia located?

Vasudev Virparia practices at 2160 State Rd Ste 1700, Lancaster, PA 17601. The listed phone number is (223) 287-8155.

What is Vasudev Virparia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Vasudev Virparia enrolled in Medicare?

Yes. Vasudev Virparia 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.

Which organizations bill Medicare for Vasudev Virparia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vasudev Virparia reassigns Medicare benefits to 9 organizations: Pinnacle Health Medical Services (Lancaster, PA), Pinnacle Health Regional Physicians (Lancaster, PA), St Luke's Physician Group, Inc (Reading, PA), Cardiovascular Specialists Of York LLC (Hanover, PA), Susquehanna Physician Services (Williamsport, PA) and 4 more organizations, 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 Vasudev Virparia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vasudev Virparia accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Highmark Blue Cross Blue Shield Delaware and 2 other insurers list Vasudev Virparia 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 Vasudev Virparia affiliated with any hospitals?

According to CMS data, Vasudev Virparia is affiliated with Boone Hospital Center, Uniontown Hospital, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Vasudev Virparia was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.