MADHUR D. SOLANKI D.O.
NPI 1174585046
Family Medicine in Winchester, VA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
1840 AMHERST ST., WINCHESTER, VA 22601(540) 536-2270(540) 536-7847 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madhur D. Solanki D.o. NPPES

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

MADHUR D. SOLANKI D.O. (NPI 1174585046) is an individual family medicine provider in Winchester, Virginia, licensed in Virginia (0102201713) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Front Royal.

NPPES Registry Identity

NPI1174585046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMADHUR D. SOLANKICredential: D.O.
Location Address1840 AMHERST ST.Winchester, VA 22601-2808
Mailing Address136 Linden Dr Ste 104Winchester, VA 22601-6900 · (540) 678-3588 · Fax (540) 678-9025
Fax(540) 536-7847
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2002
Enumeration DateApril 5, 2006
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1174585046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102201713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1840 AMHERST ST., Winchester, VA 22601

Secondary Practice Location 1

Location 1351 Valley Health Way Ste 300Front Royal, VA 22630-6480 · Phone (540) 823-4600

Other Identifiers 1

Medicaid010168228VA

Accepted 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

Madhur D. Solanki D.o. 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 ID5799720207
PECOS Enrollment IDI20050624000775
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

6

Medicare enrollment records show Madhur Solanki reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
Hospitalist
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 19 clinicians in this Medicare group
Rheumatology
1840 AMHERST ST STE 1D
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Rural Health
67 RIVERTON COMMONS DR
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group

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.
335 services145 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.
83 services83 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.
66 services55 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
23 services23 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
22 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Internal Medicine
1840 AMHERST ST.
WINCHESTER, VA 22601
Internal Medicine
1840 AMHERST ST.
WINCHESTER, VA 22601
Internal Medicine
1840 AMHERST ST.
WINCHESTER, VA 22601
Internal Medicine
1840 AMHERST ST.
WINCHESTER, VA 22601

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 Madhur Solanki's NPI number?

The NPI number for Madhur Solanki is 1174585046. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Madhur Solanki located?

Madhur Solanki practices at 1840 Amherst St., Winchester, VA 22601. The listed phone number is (540) 536-2270.

What is Madhur Solanki's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madhur Solanki enrolled in Medicare?

Yes. Madhur Solanki 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 Madhur Solanki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhur Solanki reassigns Medicare benefits to 6 organizations: Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Valley Hospitalists, P.C. (Winchester, VA), Valley Physician Enterprise, Inc. (Winchester, VA), Warren Memorial Hospital, Inc. (Front Royal, VA), Inova Health Care Services (Vienna, VA) and 1 more organization, listed in the Medicare section above. 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 Madhur Solanki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhur Solanki accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Madhur Solanki 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 Madhur Solanki affiliated with any hospitals?

According to CMS data, Madhur Solanki is affiliated with Winchester Medical Center, Warren Memorial Hospital and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Madhur Solanki was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.