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MITUL AFINIWALA M.D.
NPI 1053594408
Internal Medicine - Cardiovascular Disease in Gettysburg, PA

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
455 S WASHINGTON ST, SUITE 22, GETTYSBURG, PA 17325(717) 339-3105(717) 339-3107 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitul Afiniwala M.d. NPPES

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

MITUL AFINIWALA M.D. (NPI 1053594408) is an individual cardiovascular disease provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD435655) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053594408
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMITUL AFINIWALACredential: M.D.
Location Address455 S WASHINGTON ST, SUITE 22Gettysburg, PA 17325-2516
Mailing AddressPo Box 825395Philadelphia, PA 19182-5395 · (717) 339-3105 · Fax (717) 339-3107
Phone(717) 339-3105
Fax(717) 339-3107
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 7, 2007
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1053594408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD435655
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 MD435655 (PA)
455 S WASHINGTON ST, Gettysburg, PA 17325
Open in Google Maps ↗

Other Identifiers 1

Medicaid102264833PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mitul Afiniwala 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 ID2163587528
PECOS Enrollment IDI20090218000417
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 7

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.
886 services420 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.
145 services140 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.
89 services59 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.
48 services44 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.
31 services24 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier13 claims13 services$2,066.54 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 12

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

JOSEPH E TRIPI MD
Specialist
455 S WASHINGTON ST, 16
GETTYSBURG, PA 17325
Adams County (717) 334-7609
THARMALINGAM SIVENDRAN M.D.
Specialist
455 S WASHINGTON ST, SUITE 24
GETTYSBURG, PA 17325
Adams County (717) 359-9159
WELLSPAN MEDICAL GROUP
Clinic/Center (Urgent Care)
455 S WASHINGTON ST, STE 12
GETTYSBURG, PA 17325
Adams County (717) 339-2875
GETTYSBURG OPHTHALMOLOGY ASSOCIATES PC
Ophthalmology
455 S WASHINGTON ST, SUITE 24
GETTYSBURG, PA 17325
Adams County (717) 334-9159
DION M PASTICK PA
Physician Assistant
455 S WASHINGTON ST
GETTYSBURG, PA 17325
Adams County (717) 812-4774
HANNAH H MACINTYRE NURSE-MIDWIFE
Advanced Practice Midwife
455 S WASHINGTON ST, SUITE 25
GETTYSBURG, PA 17325
Adams County (717) 337-4290
WELLSPAN MEDICAL GROUP
Obstetrics & Gynecology (Maternal & Fetal Medicine)
455 S WASHINGTON ST
GETTYSBURG, PA 17325
Adams County (717) 338-3292
LON D WOODS MD
Specialist
455 S WASHINGTON ST, STE 16
GETTYSBURG, PA 17325
Adams County (717) 334-7609

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 Mitul Afiniwala's NPI number?

The NPI number for Mitul Afiniwala is 1053594408. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Mitul Afiniwala located?

Mitul Afiniwala practices at 455 S Washington St Suite 22, Gettysburg, PA 17325. The listed phone number is (717) 339-3105.

What is Mitul Afiniwala's specialty?

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

Is Mitul Afiniwala enrolled in Medicare?

Yes. Mitul Afiniwala 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 Mitul Afiniwala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mitul Afiniwala 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 Mitul Afiniwala affiliated with any hospitals?

According to CMS data, Mitul Afiniwala is affiliated with Jefferson Health- Northeast, Thomas Jefferson University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mitul Afiniwala was last updated on April 14, 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.