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NIRAV BIPINKUMAR ZALAVADIYA MD
NPI 1386264919
Internal Medicine in Augusta, GA

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 600-6083 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2023, Apr 23, 2020 (2 updates tracked since 2020).

About Nirav Bipinkumar Zalavadiya Md NPPES

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

NIRAV BIPINKUMAR ZALAVADIYA MD (NPI 1386264919) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (95275) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386264919
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAV BIPINKUMAR ZALAVADIYACredential: MD
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing Address4298 Candleberry GdnNorth Augusta, SC 29860-7202 · (857) 313-9875
Phone(706) 600-6083
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2020
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1386264919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 95275
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 95275 (GA)
1350 WALTON WAY, Augusta, GA 30901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Nirav Bipinkumar Zalavadiya 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 ID9638590896
PECOS Enrollment IDI20230724000391
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 7

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.
386 services158 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.
116 services64 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.
105 services104 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.
64 services63 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services59 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.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

ENOCH BUSULWA LULE M.D.
Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5542
DR. MARY TANEOUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
PRIYA DHARSHINI RAVINDRAN MD
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5795
DR. KAILASH B SHARMA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
MICHEL TANIOS M.D.
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Richmond County (706) 774-7263
FLYNT STEBBINS CONNOR M.S., CCC-SLP
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
LAURA ENZ
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
CANDACE M CURTIS MD
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 737-6950

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 Nirav Zalavadiya's NPI number?

The NPI number for Nirav Zalavadiya is 1386264919. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Nirav Zalavadiya located?

Nirav Zalavadiya practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 600-6083.

What is Nirav Zalavadiya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirav Zalavadiya enrolled in Medicare?

Yes. Nirav Zalavadiya 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 Nirav Zalavadiya accept?

Health plans from Alliant Health Plans, Inc. list Nirav Zalavadiya 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 Nirav Zalavadiya affiliated with any hospitals?

According to CMS data, Nirav Zalavadiya is affiliated with Piedmont Augusta Hospital, University Mcduffie County Regional Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nirav Zalavadiya was last updated on May 28, 2024. 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.