NITESH VACHHANI MD
NPI 1093854010
Internal Medicine - Gastroenterology in Richmond, TX

Q: What is Nitesh Vachhani's NPI number?

The NPI number for Nitesh Vachhani is 1093854010. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Nitesh Vachhani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nitesh Vachhani was last updated on August 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

1601 MAIN ST STE 401, RICHMOND, TX 77469(281) 342-9530(281) 342-9564 Get Directions Write a Review

NPPES record last updated: August 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nitesh Vachhani Md NPPES

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

NITESH VACHHANI MD (NPI 1093854010) is an individual gastroenterology provider in Richmond, Texas, licensed in New Mexico (2006-0223) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Oakbend Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2003).

NPPES Registry Identity

NPI1093854010

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNITESH VACHHANICredential: MD

Location Address1601 MAIN ST STE 401Richmond, TX 77469-3244

Mailing Address1601 Main St Ste 401Richmond, TX 77469-3244 · (713) 459-4326 · Fax (281) 903-5002

Phone(281) 342-9530

Fax(281) 342-9564

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2003

Enumeration DateFebruary 6, 2007

Last NPPES UpdateAugust 14, 2011

✔ NPI 1093854010 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 NM · 2006-0223

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.

1601 MAIN ST STE 401, Richmond, TX 77469

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Other Identifiers 3

Other8CM673TX · Bcbs

Medicare PINTXB103871TX

Medicaid215508701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nitesh Vachhani 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 ID3173670254

PECOS Enrollment IDI20090406000633

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 21

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.

584 services257 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.

224 services184 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

209 services179 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.

209 services197 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.

161 services156 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.

147 services147 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

139 services37 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.

138 services138 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.

133 services130 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

107 services107 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

69 services64 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.

64 services64 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.

49 services32 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

47 services22 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

41 services41 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

34 services34 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

21 services21 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

19 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450330

Location1705 Jackson StRichmond, TX 77469 · Fort Bend County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Sugar Land Surgical Hospital LLP

Acute Care Hospitals · Sugar Land, TX

OwnershipPhysician

CMS Certification Number450860

Location16906 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670053

Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

79.87/100

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

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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Other Providers at the Same Location NPPES 3

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

MINDY MARIE HAVERLAH APRN, FNP-C

Nurse Practitioner (Primary Care)

1601 MAIN ST STE 401
RICHMOND, TX 77469

Fort Bend County (281) 342-9530

IBIENE SAMUEL

Nurse Practitioner (Family)

1601 MAIN ST STE 401
RICHMOND, TX 77469

Fort Bend County (281) 342-9564

DR. DEEPIKA LAKSHMI CHONA M.D.

Internal Medicine (Gastroenterology)

1601 MAIN ST STE 401
RICHMOND, TX 77469

Fort Bend County (281) 342-9530

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 Nitesh Vachhani's NPI number?

The NPI number for Nitesh Vachhani is 1093854010. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Nitesh Vachhani located?

Nitesh Vachhani practices at 1601 Main St Ste 401, Richmond, TX 77469. The listed phone number is (281) 342-9530.

What is Nitesh Vachhani's specialty?

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

Is Nitesh Vachhani enrolled in Medicare?

Yes. Nitesh Vachhani 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 Nitesh Vachhani accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Nitesh Vachhani 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 Nitesh Vachhani affiliated with any hospitals?

According to CMS data, Nitesh Vachhani is affiliated with Oakbend Medical Center, Houston Methodist Sugarland Hospital, Memorial Hermann Sugar Land Hospital, Sugar Land Surgical Hospital LLP and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Nitesh Vachhani was last updated on August 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.