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DR. JAY KADHIWALA MD
NPI 1265014765
Family Medicine in Allentown, PA

Active since April 23, 2021Opted out of Medicare · through Aug 20, 2026
961 MARCON BLVD STE 452, ALLENTOWN, PA 18109(484) 273-0908(610) 347-5719 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2024, Jun 13, 2024, Apr 23, 2021 (3 updates tracked since 2021).

About Dr. Jay Kadhiwala Md NPPES

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

DR. JAY KADHIWALA MD (NPI 1265014765) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD486346) and active in the NPI registry since April 2021. He has opted out of Medicare through August 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265014765
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAY KADHIWALACredential: MD
Location Address961 MARCON BLVD STE 452Allentown, PA 18109-9366
Mailing Address961 Marcon Blvd Ste 452Allentown, PA 18109-9366 · (484) 273-0908 · Fax (610) 347-5719
Phone(484) 273-0908
Fax(610) 347-5719
Sole ProprietorYes
Enumeration DateApril 23, 2021
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1265014765 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 · MD486346
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.
961 MARCON BLVD STE 452, Allentown, PA 18109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jay Kadhiwala Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2024 through August 20, 2026.

Opt-Out Effective DateAugust 20, 2024
Opt-Out In Effect ThroughAugust 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18109 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BOOSARA RATANAWONGSA M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
961 MARCON BLVD STE 452
ALLENTOWN, PA 18109
Lehigh County (610) 398-9898

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 Jay Kadhiwala's NPI number?

The NPI number for Jay Kadhiwala is 1265014765. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Jay Kadhiwala located?

Jay Kadhiwala practices at 961 Marcon Blvd Ste 452, Allentown, PA 18109. The listed phone number is (484) 273-0908.

What is Jay Kadhiwala's specialty?

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

Is Jay Kadhiwala enrolled in Medicare?

No. Jay Kadhiwala has opted out of Medicare through August 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jay Kadhiwala accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Jay Kadhiwala 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 Jay Kadhiwala was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.