Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABHAY METGUD
NPI 1235820135
Family Medicine in Hamburg, PA

Q: What is Abhay Metgud's NPI number?

The NPI number for Abhay Metgud is 1235820135. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Q: What is Abhay Metgud's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abhay Metgud was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 May 19, 2023PECOS Enrolled

9 DAVES WAY, HAMBURG, PA 19526(610) 628-7206 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, May 19, 2023 (2 updates tracked since 2023).

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About Abhay Metgud NPPES

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

ABHAY METGUD (NPI 1235820135) is an individual family medicine provider in Hamburg, Pennsylvania, licensed in Pennsylvania (MD496432) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235820135

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameABHAY METGUD

Location Address9 DAVES WAYHamburg, PA 19526-1413

Mailing Address408 Larchmont WayMountain Top, PA 18707-2049

Phone(610) 628-7206

Sole ProprietorNo

Enumeration DateMay 19, 2023

Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1235820135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD496432

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.

9 DAVES WAY, Hamburg, PA 19526

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abhay Metgud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19526 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 10

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

BRENNEN C REDCAY

Physical Therapist

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7204

ST. LUKE'S HOSPITAL

Clinic/Center (Urgent Care)

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7201

DR. ROBERT E BUDINETZ MD

Family Medicine

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7206

MRS. LINDSEY RERICK PHARMD, BCACP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

9 DAVES WAY
HAMBURG, PA 19526

Berks County (484) 658-0313

KRISTINA PARISE PA-C

Physician Assistant

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7201

AMANDA TOKARICK-MOYER CRNP

Nurse Practitioner

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7201

KELLIANNA BOWNE PA-C

Physician Assistant

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7201

KEVIN VALDES PA-C

Physician Assistant

9 DAVES WAY
HAMBURG, PA 19526

Berks County (610) 628-7201

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 Abhay Metgud's NPI number?

The NPI number for Abhay Metgud is 1235820135. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Abhay Metgud located?

Abhay Metgud practices at 9 Daves Way, Hamburg, PA 19526. The listed phone number is (610) 628-7206.

What is Abhay Metgud's specialty?

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

Is Abhay Metgud enrolled in Medicare?

Yes. Abhay Metgud is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abhay Metgud was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.