ABHIJIT KARWA MD
NPI 1376887257
Hospitalist in Pueblo, CO

Active since November 16, 2012PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1008 MINNEQUA AVE, PUEBLO, CO 81004(303) 643-1159(720) 874-5886 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Dec 3, 2015 (2 updates tracked since 2015).

About Abhijit Karwa Md NPPES

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

ABHIJIT KARWA MD (NPI 1376887257) is an individual hospitalist provider in Pueblo, Colorado, licensed in Colorado (56051) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376887257
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameABHIJIT KARWACredential: MD
Location Address1008 MINNEQUA AVEPueblo, CO 81004-3733
Mailing Address1008 Minnequa AvePueblo, CO 81004-3733 · (303) 643-1159 · Fax (720) 874-5886
Fax(720) 874-5886
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 16, 2012
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
NPI 1376887257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CO · 56051
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35302 (SC), 56051 (CO)
1008 MINNEQUA AVE, Pueblo, CO 81004

Secondary Practice Location 1

Location 111600 W 2nd PlLakewood, CO 80228-1527 · Phone (720) 321-0000 · Fax (720) 321-1759

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

Abhijit Karwa Md 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 ID7113149279
PECOS Enrollment IDI20151217001177
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 5

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.

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.
242 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
180 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers79 claims80 services$15.91 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$779.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers113 claims114 services$71.64 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 20

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

Radiology (Diagnostic Radiology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE
PUEBLO, CO 81004
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE, OR/ANESTHESIOLOGY
PUEBLO, CO 81004
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pharmacy (Community/Retail Pharmacy)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004

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 Abhijit Karwa's NPI number?

The NPI number for Abhijit Karwa is 1376887257. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Abhijit Karwa located?

Abhijit Karwa practices at 1008 Minnequa Ave, Pueblo, CO 81004. The listed phone number is (303) 643-1159.

What is Abhijit Karwa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Abhijit Karwa enrolled in Medicare?

Yes. Abhijit Karwa 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.

When was this NPI record last updated?

The NPPES record for Abhijit Karwa was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.