ASHAY VAIDYA MD
NPI 1154995223
Family Medicine - Adult Medicine in Gilbert, AZ

Q: What is Ashay Vaidya's NPI number?

The NPI number for Ashay Vaidya is 1154995223. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Q: What is Ashay Vaidya's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Ashay Vaidya was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment

155 E WARNER RD, GILBERT, AZ 85296(480) 649-6600(480) 649-6700 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2025, Sep 26, 2024, May 13, 2021 (3 updates tracked since 2021).

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About Ashay Vaidya Md NPPES

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

ASHAY VAIDYA MD (NPI 1154995223) is an individual adult medicine provider in Gilbert, Arizona, licensed in Arizona (76831) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2021).

NPPES Registry Identity

NPI1154995223

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameASHAY VAIDYACredential: MD

Location Address155 E WARNER RDGilbert, AZ 85296-3082

Mailing Address155 E Warner RdGilbert, AZ 85296-3082 · (480) 649-6600 · Fax (480) 649-6700

Phone(480) 649-6600

Fax(480) 649-6700

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2021

Enumeration DateMay 13, 2021

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1154995223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in AZ · 76831

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

155 E WARNER RD, Gilbert, AZ 85296

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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

Ashay Vaidya 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 ID4688077969

PECOS Enrollment IDI20241016003380, I20250730000582

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 2

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 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.

25 services24 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.

21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 15

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

HADIL OWAYNAT DO

Internal Medicine