MR. KEVIN SHAILESH AVICHAL PA-C
NPI 1174040539
Physician Assistant - Medical in Union, NJ

Active since August 26, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2317 CENTER ISLAND, ROUTE 22, UNION, NJ 07083(201) 354-1951(201) 354-1952 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Mar 17, 2020, Aug 26, 2017 (3 updates tracked since 2017).

About Mr. Kevin Shailesh Avichal Pa-c NPPES

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

MR. KEVIN SHAILESH AVICHAL PA-C (NPI 1174040539) is an individual medical provider in Union, New Jersey, licensed in New Jersey (25MP00445700) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174040539
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVIN SHAILESH AVICHALCredential: PA-C
Location Address2317 CENTER ISLAND, ROUTE 22Union, NJ 07083
Mailing Address1244 Plane StUnion, NJ 07083-3820 · (908) 265-7873
Fax(201) 354-1952
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 26, 2017
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1174040539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00445700
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 25MP00445700 (NJ)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00445700 (NJ), 021217 (NY)
2317 CENTER ISLAND, Union, NJ 07083

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

Mr. Kevin Shailesh Avichal Pa-c 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 ID5092143305
PECOS Enrollment IDI20200320000935
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 7

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.
145 services144 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
54 services54 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.
33 services33 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.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services17 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services14 patients

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Family Medicine
2317 CENTER ISLAND, ROUTE 22
UNION, NJ 07083
Family Medicine
2317 CENTER ISLAND, ROUTE 22
UNION, NJ 07083

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 Kevin Avichal's NPI number?

The NPI number for Kevin Avichal is 1174040539. It was assigned to this individual provider in the NPPES registry on August 26, 2017.

Where is Kevin Avichal located?

Kevin Avichal practices at 2317 Center Island Route 22, Union, NJ 07083. The listed phone number is (201) 354-1951.

What is Kevin Avichal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Avichal enrolled in Medicare?

Yes. Kevin Avichal 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.

When was this NPI record last updated?

The NPPES record for Kevin Avichal was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.