NIRAV PARESH CHINIWALLA MD
NPI 1114955291
Internal Medicine - Gastroenterology in Concord, NC

Q: What is Nirav Chiniwalla's NPI number?

The NPI number for Nirav Chiniwalla is 1114955291. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Nirav Chiniwalla'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 Nirav Chiniwalla was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 29, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1070 VINEHAVEN DR, CONCORD, NC 28025(704) 783-1840(704) 783-1850 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nirav Paresh Chiniwalla Md NPPES

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

NIRAV PARESH CHINIWALLA MD (NPI 1114955291) is an individual gastroenterology provider in Concord, North Carolina and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Temple University School Of Medicine (1999).

NPPES Registry Identity

NPI1114955291

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNIRAV PARESH CHINIWALLACredential: MD

Location Address1070 VINEHAVEN DRConcord, NC 28025-2438

Mailing Address1070 Vinehaven DrConcord, NC 28025-2438 · (704) 783-1840 · Fax (704) 783-1850

Phone(704) 783-1840

Fax(704) 783-1850

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1999

Enumeration DateJune 29, 2006

Last NPPES UpdateNovember 8, 2007

✔ NPI 1114955291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

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.

1070 VINEHAVEN DR, Concord, NC 28025

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Other Identifiers 5

Medicaid5904428NC

Medicare UPINH78026NC

Other142H3NC · Blue Cross Blue Shield

Medicare PIN2057514NC

OtherP00346657NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

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

Nirav Paresh Chiniwalla 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 ID446258602

PECOS Enrollment IDI20061122000159

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

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

Cabarrus Gastroenterology Associates, PLLC

Same address

Gastroenterology

1070 VINEHAVEN DRIVE NE
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1861059172 (North Carolina)
58 clinicians in this Medicare group

NPI 1780790592 (704) 783-1840

The Charlotte-Mecklenburg Hospital Authority

0.1 mi

Surgery

1090 VINEHAVEN DR NE
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1811321334 (704) 403-7580

Carolinas Physicians Network Inc

0.7 mi

Family Medicine

1090 NE GATEWAY CT NE, STE 202
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1902049190 (704) 403-9050

Novant Health Rowan Endoscopy Center, LLC

13 mi

Endoscopy

510 CORPORATE CIR STE 1001
Salisbury, NC 28147

Reassigned Medicare billing, North Carolina enrollment
12 clinicians in this Medicare group

NPI 1982381976 (704) 783-1840

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 12

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.

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.

161 services131 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.

112 services111 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.

76 services76 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

74 services73 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.

64 services64 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.

48 services35 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.

47 services47 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.

33 services33 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.

29 services29 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.

22 services21 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

15 services12 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.35/100

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

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

ALAN W CHIEMPRABHA M.D.

Internal Medicine (Gastroenterology)

1070 VINEHAVEN DR
CONCORD, NC 28025

Cabarrus County (704) 783-1840

ROBERT T FOUST M.D.

Internal Medicine (Gastroenterology)

1070 VINEHAVEN DR
CONCORD, NC 28025

Cabarrus County (704) 783-1840

THOMAS A DALTON M.D.

Internal Medicine (Gastroenterology)

1070 VINEHAVEN DR
CONCORD, NC 28025

Cabarrus County (704) 783-1840

DR. SARA K HAWES MD

Internal Medicine (Gastroenterology)

1070 VINEHAVEN DR
CONCORD, NC 28025

Cabarrus County (704) 783-1840

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 Nirav Chiniwalla's NPI number?

The NPI number for Nirav Chiniwalla is 1114955291. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Nirav Chiniwalla located?

Nirav Chiniwalla practices at 1070 Vinehaven Dr, Concord, NC 28025. The listed phone number is (704) 783-1840.

What is Nirav Chiniwalla's specialty?

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

Is Nirav Chiniwalla enrolled in Medicare?

Yes. Nirav Chiniwalla 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 Nirav Chiniwalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirav Chiniwalla reassigns Medicare benefits to 4 organizations: Cabarrus Gastroenterology Associates, PLLC (Concord, NC), The Charlotte-Mecklenburg Hospital Authority (Concord, NC), Carolinas Physicians Network Inc (Concord, NC) and Novant Health Rowan Endoscopy Center, LLC (Salisbury, NC). 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 Nirav Chiniwalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nirav Chiniwalla accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Nirav Chiniwalla 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 Nirav Chiniwalla affiliated with any hospitals?

According to CMS data, Nirav Chiniwalla is affiliated with Carolinas Medical Center-Northeast, Novant Health Rowan Medical Center and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Chiniwalla was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.