VIVEK K. VADEHRA M.D.
NPI 1073602793
Hospitalist in Newark, NJ

Q: What is Vivek Vadehra's NPI number?

The NPI number for Vivek Vadehra is 1073602793. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Vivek Vadehra's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivek Vadehra was last updated on November 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

79.63/100

CMS Quality Rating

30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107(973) 972-0037(973) 972-9355 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vivek K. Vadehra M.d. NPPES

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

VIVEK K. VADEHRA M.D. (NPI 1073602793) is an individual hospitalist provider in Newark, New Jersey, licensed in North Dakota (14785) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1073602793

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameVIVEK K. VADEHRACredential: M.D.

Location Address30 BERGEN ST, ADMC 12 1205Newark, NJ 07107-3000

Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000 · (973) 972-0037 · Fax (973) 972-9355

Phone(973) 972-0037

Fax(973) 972-9355

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 12, 2006

Last NPPES UpdateNovember 28, 2017

✔ NPI 1073602793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in ND · 14785✔ Licensed in ND · PT14785

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA06798300 (NJ)

30 BERGEN ST, Newark, NJ 07107

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Other Identifiers 3

Medicaid7953402NJ

Medicare UPING95904NJ

Medicare ID-Type Unspecified028160NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Vivek K. Vadehra 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 ID1951560010

PECOS Enrollment IDI20171031001652

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 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 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.

504 services142 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.

89 services56 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.

69 services69 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

47 services14 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number350002

Location900 E BroadwayBismarck, ND 58501 · Burleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07107 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

79.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.03

Promoting Interoperability

Improvement Activities

Cost

74.42

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.85 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.

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