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ANIL LALWANI M.D.
NPI 1164418588
Otolaryngology in New York, NY

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
180 FORT WASHINGTON AVE, 7TH FLOOR, NEW YORK, NY 10032(212) 305-8555(212) 305-3975 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anil Lalwani M.d. NPPES

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

ANIL LALWANI M.D. (NPI 1164418588) is an individual otolaryngology provider in New York, New York, licensed in New York (228446) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Michigan Medical School (1985).

NPPES Registry Identity

NPI1164418588
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANIL LALWANICredential: M.D.
Location Address180 FORT WASHINGTON AVE, 7TH FLOORNew York, NY 10032-3722
Mailing Address180 Fort Washington Ave, 7th FloorNew York, NY 10032-3722 · (212) 305-8555 · Fax (212) 305-3975
Phone(212) 305-8555
Fax(212) 305-3975
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1985
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 28, 2014
✔ NPI 1164418588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 228446
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 228446 (NY)
180 FORT WASHINGTON AVE, New York, NY 10032
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Other Identifiers 1

Medicare PINA400062093NY

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

Anil Lalwani 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 ID3678467081
PECOS Enrollment IDI20040209000335
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 8

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.
318 services258 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
287 services256 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
152 services137 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.
146 services146 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.
81 services72 patients
Simple removal of skin debris and drainage of mastoid cavity 69220
This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.
26 services16 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

JASON WONG DPT
Physical Therapist
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2862
DR. MARCELLA DONOVAN WALKER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 342-1521
MR. BRETT GRAY ANP, MPH
Nurse Practitioner (Adult Health)
180 FORT WASHINGTON AVE, HP2
NEW YORK, NY 10032
New York County (212) 305-1570
DR. TRISTAN TIMOTHY SANDS MD, PHD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (646) 426-3876
CHRISTINE ELIZABETH TOWNSEND M.D.
Physical Medicine & Rehabilitation
180 FORT WASHINGTON AVE, HP1, SUITE 199
NEW YORK, NY 10032
New York County (212) 305-3535
ISAAC SYROP M.D.
Physical Medicine & Rehabilitation
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3535
SIERRA RUBIN DMD
Student in an Organized Health Care Education/Training Program
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-7626
DR. AREZOU HESHMATI M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
180 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (646) 426-3876

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 Anil Lalwani's NPI number?

The NPI number for Anil Lalwani is 1164418588. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Anil Lalwani located?

Anil Lalwani practices at 180 Fort Washington Ave 7th Floor, New York, NY 10032. The listed phone number is (212) 305-8555.

What is Anil Lalwani's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anil Lalwani enrolled in Medicare?

Yes. Anil Lalwani 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.

Is Anil Lalwani affiliated with any hospitals?

According to CMS data, Anil Lalwani is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Anil Lalwani was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.