ASHWIN PRAFULLA PIMPALWAR MD
NPI 1255499646
Surgery - Pediatric Surgery in Richmond, VA
About Ashwin Prafulla Pimpalwar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHWIN PRAFULLA PIMPALWAR MD (NPI 1255499646) is an individual pediatric surgery provider in Richmond, Virginia, licensed in Missouri (2017016925) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashwin Prafulla Pimpalwar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Ashwin Pimpalwar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,565 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
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.
RICHMOND, VA 23226
RICHMOND, VA 23226
RICHMOND, VA 23226
RICHMOND, VA 23226
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 Ashwin Pimpalwar's NPI number?
The NPI number for Ashwin Pimpalwar is 1255499646. It was assigned to this individual provider in the NPPES registry on December 5, 2006.
Where is Ashwin Pimpalwar located?
Ashwin Pimpalwar practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 281-8303.
What is Ashwin Pimpalwar's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Ashwin Pimpalwar enrolled in Medicare?
Yes. Ashwin Pimpalwar is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ashwin Pimpalwar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashwin Pimpalwar reassigns Medicare benefits to 5 organizations: Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Mercy Clinic Springfield Communities (Springfield, MO), Baylor College Of Medicine (Houston, TX) and Texas Children's Physician Group (Houston, TX). 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 Ashwin Pimpalwar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashwin Pimpalwar accept?
Health plans from Oscar Health list Ashwin Pimpalwar 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.
When was this NPI record last updated?
The NPPES record for Ashwin Pimpalwar was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ashwin Prafulla Pimpalwar, MD · NPI 1255499646
Pediatric Surgery physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1255499646 (Entity type: Individual)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 2017016925 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 5801 BREMO RD, Richmond, VA 23226-1907
- **Phone:** (804) 281-8303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Baylor College Of Medicine (NPI 1053352914, Houston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2022
- **Other identifiers:** Medicaid 207523408 (MO); Other 782345 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1255499646) · Data from the CMS NPPES public registry.