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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NINA PHATAK MD
NPI 1093828147
Internal Medicine - Gastroenterology in Charlottesville, VA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
73.68/100
CMS Quality Rating
2250 IVY RD STE 220, CHARLOTTESVILLE, VA 22903(434) 654-3710(844) 948-9372 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Feb 28, 2025, Feb 23, 2018 (3 updates tracked since 2018).

About Dr. Nina Phatak Md NPPES

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

DR. NINA PHATAK MD (NPI 1093828147) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101240340) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Augusta Health, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1093828147
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NINA PHATAKCredential: MD
Location Address2250 IVY RD STE 220Charlottesville, VA 22903-4968
Mailing Address6812 Sorrel StMc Lean, VA 22101-1526 · (703) 999-2309
Phone(434) 654-3710
Fax(844) 948-9372
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1999
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1093828147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101240340
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2250 IVY RD STE 220, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 Martha Jefferson Dr Ste 505Charlottesville, VA 22911-4668 · Phone (434) 654-5260 · Fax (434) 654-5261

Other Identifiers 1

Medicaid1093828147VA

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

Dr. Nina Phatak 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 ID2466467766
PECOS Enrollment IDI20061201000072
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 Nina Phatak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Augusta Medical Group
26 mi
General Practice
78 MEDICAL CENTER DR
Fishersville, VA 22939
  • Reassigned Medicare billing, Virginia enrollment
  • 434 clinicians in this Medicare group
NPI 1245489590 (540) 932-5162
Mary Washington Healthcare Providers LLC
59 mi
Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
NPI 1750826277 (540) 741-1821
Gastroenterology Associates VA, LLC
70 mi
Gastroenterology
7915 LAKE MANASSAS DR STE 302
Gainesville, VA 20155
  • Reassigned Medicare billing, Virginia enrollment
  • 47 clinicians in this Medicare group
NPI 1518990472 (571) 248-0653
Clinch Professional Physician Services LLC
189 mi
Rural Health
111 FASHION RD STE D
Pounding Mill, VA 24637
  • Reassigned Medicare billing, Virginia enrollment
  • 83 clinicians in this Medicare group
NPI 1386329902 (276) 596-6375

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 10

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
5,700 services11 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
101 services100 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
84 services72 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.
59 services49 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
54 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490023
Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

73.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.92
Promoting Interoperability100
Improvement Activities40
Cost44.36

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
46%35 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
89%391 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%898 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%1,117 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%116 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%729 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
19%1,280 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%1,671 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%1,671 patients2/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 299 patients
0%299 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. RODERICK B KREISBERG MD
Internal Medicine (Gastroenterology)
2250 IVY RD STE 220
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 654-3710
MISS KATHERINE RENEE PENCE PA-C
Physician Assistant
2250 IVY RD STE 220
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 654-3710

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 Nina Phatak's NPI number?

The NPI number for Nina Phatak is 1093828147. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Nina Phatak located?

Nina Phatak practices at 2250 Ivy Rd Ste 220, Charlottesville, VA 22903. The listed phone number is (434) 654-3710.

What is Nina Phatak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nina Phatak enrolled in Medicare?

Yes. Nina Phatak 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 Nina Phatak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Phatak reassigns Medicare benefits to 4 organizations: Augusta Medical Group (Fishersville, VA), Mary Washington Healthcare Providers LLC (Fredericksburg, VA), Gastroenterology Associates VA, LLC (Gainesville, VA) and Clinch Professional Physician Services LLC (Pounding Mill, VA). 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 Nina Phatak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nina Phatak affiliated with any hospitals?

According to CMS data, Nina Phatak is affiliated with Augusta Health, Fauquier Hospital, Novant Prince William Medical Center, Sentara Martha Jefferson Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Phatak was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.