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KANICA YASHI
NPI 1053763995
Internal Medicine in Pottstown, PA

Active since July 04, 2016PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1600 E HIGH ST, POTTSTOWN, PA 19464(610) 327-7000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kanica Yashi NPPES

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

KANICA YASHI (NPI 1053763995) is an individual internal medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD490462) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1053763995
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANICA YASHI
Location Address1600 E HIGH STPottstown, PA 19464-5008
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(610) 327-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 4, 2016
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1053763995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD490462
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.
1600 E HIGH ST, Pottstown, PA 19464
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Secondary Practice Location 1

Location 150 Presidential Plz, Apt 1509Syracuse, NY 13202-2229 · Phone (315) 464-5240

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

Kanica Yashi 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 ID1052657954
PECOS Enrollment IDI20250807001975
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

4

Medicare enrollment records show Kanica Yashi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pottstown Clinic Company LLC
2.3 mi
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
NPI 1649341934 (610) 323-6835
Phoenixville Clinic Company LLC
4.1 mi
Vascular Surgery
420 W LINFIELD TRAPPE RD, STE 1100
Limerick, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
NPI 1790746345 (610) 495-2550
Tower Health Medical Group
10 mi
Internal Medicine
321 N FURNACE ST STE 100
Birdsboro, PA 19508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1609291350 (610) 898-9330
Mary Imogene Bassett Hospital
173 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 496 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858

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 4

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 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.
348 services161 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.
118 services115 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients
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.
46 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims24 services$3.86 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier42 claims1,442 services$11.24 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier42 claims294 services$319.73 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier42 claims294 services$8.01 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier42 claims294 services$25.02 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.

POTTSTOWN CLINIC COMPANY LLC
Psychiatry & Neurology (Neurology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7500
ANIL KUMAR BHARDWAJ M.D.
Radiology (Diagnostic Radiology)
1600 E HIGH ST, RADIOLOGY DEPARTMENT
POTTSTOWN, PA 19464
Montgomery County (610) 327-7282
DR. CHARU THAKRAL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7111
MR. JEROME WEBER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
ANDREW CHINOFSKY CRNP
Nurse Practitioner (Family)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
POTTSTOWN HOSPITAL, LLC
Clinic/Center (Ambulatory Surgical)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
LEE S ZELLEY M.D.
Obstetrics & Gynecology
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
DANIELLE BURKHOLDER PA-C
Physician Assistant
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000

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 Kanica Yashi's NPI number?

The NPI number for Kanica Yashi is 1053763995. It was assigned to this individual provider in the NPPES registry on July 4, 2016.

Where is Kanica Yashi located?

Kanica Yashi practices at 1600 E High St, Pottstown, PA 19464. The listed phone number is (610) 327-7000.

What is Kanica Yashi's specialty?

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

Is Kanica Yashi enrolled in Medicare?

Yes. Kanica Yashi 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 Kanica Yashi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanica Yashi reassigns Medicare benefits to 4 organizations: Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), Tower Health Medical Group (Birdsboro, PA) and Mary Imogene Bassett Hospital (Cooperstown, NY). 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 Kanica Yashi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kanica Yashi affiliated with any hospitals?

According to CMS data, Kanica Yashi is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Kanica Yashi was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.