PAWAN VIRENDRA RAWAL M.B.B.S.
NPI 1255659009
Psychiatry & Neurology - Neurology in Memphis, TN

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
54.1/100
CMS Quality Rating
6029 WALNUT GROVE RD STE 210, MEMPHIS, TN 38120(901) 226-4910(901) 226-4915 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Oct 25, 2016 (2 updates tracked since 2016).

About Pawan Virendra Rawal M.b.b.s. NPPES

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

PAWAN VIRENDRA RAWAL M.B.B.S. (NPI 1255659009) is an individual neurology provider in Memphis, Tennessee, licensed in Tennessee (53007) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255659009
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAWAN VIRENDRA RAWALCredential: M.B.B.S.
Location Address6029 WALNUT GROVE RD STE 210Memphis, TN 38120-2112
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809
Fax(901) 226-4915
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 4, 2010
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1255659009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · 53007
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6029 WALNUT GROVE RD STE 210, Memphis, TN 38120

Accepted Insurance

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

Pawan Virendra Rawal M.b.b.s. 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 ID6305083478
PECOS Enrollment IDI20150918001526, I20170324000796
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 27

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.

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
7,180 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
3,763 services640 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
508 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
422 services391 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.
372 services176 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
294 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

54.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59
Promoting Interoperability0
Improvement Activities40
Cost48.42

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Rheumatology)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Nurse Practitioner (Women's Health)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Surgery (Plastic and Reconstructive Surgery)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Surgery (Surgical Oncology)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Internal Medicine (Rheumatology)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120
Colon & Rectal Surgery
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 38120

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 Pawan Rawal's NPI number?

The NPI number for Pawan Rawal is 1255659009. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Pawan Rawal located?

Pawan Rawal practices at 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120. The listed phone number is (901) 226-4910.

What is Pawan Rawal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pawan Rawal enrolled in Medicare?

Yes. Pawan Rawal 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.

What insurance does Pawan Rawal accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Pawan Rawal 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 Pawan Rawal affiliated with any hospitals?

According to CMS data, Pawan Rawal is affiliated with Baptist Memorial Hospital Union County, Baptist Memorial Hospital Desoto, Baptist Memorial Hospital, Methodist Hospitals Of Memphis and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Pawan Rawal was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.