HARISH P ARDESHNA M.D.
NPI 1386600229
Internal Medicine - Pulmonary Disease in Bluffton, IN

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
303 S MAIN ST, BLUFFTON, IN 46714(260) 919-3456(260) 919-3558 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2020, Apr 26, 2017 (2 updates tracked since 2017).

About Harish P Ardeshna M.d. NPPES

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

HARISH P ARDESHNA M.D. (NPI 1386600229) is an individual pulmonary disease provider in Bluffton, Indiana, licensed in Indiana (01039030A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Bluffton Regional Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1386600229
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHARISH P ARDESHNACredential: M.D.
Location Address303 S MAIN STBluffton, IN 46714-2503
Mailing Address303 S Main StBluffton, IN 46714-2503 · (260) 919-3456 · Fax (260) 919-3551
Fax(260) 919-3558
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateApril 20, 2006
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1386600229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01039030A
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

303 S MAIN ST, Bluffton, IN 46714

Other Identifiers 1

Medicaid100102260AIN

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

Harish P Ardeshna M.d. 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 ID8123922960
PECOS Enrollment IDI20100315000146
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 11

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.

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.
422 services247 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
398 services251 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
174 services156 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
174 services156 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services117 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.
46 services13 patients

Hospital Affiliations CMS Care Compare

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

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150075
Location303 S Main StBluffton, IN 46714 · Wells County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers148 claims148 services$43.91 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers27 claims57 services$1.71 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers11 claims11 services$18.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers113 claims113 services$108.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers124 claims322 services$42.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers61 claims343 services$23.95 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.

Family Medicine
303 S MAIN ST
BLUFFTON, IN 46714
Surgery
303 S MAIN ST
BLUFFTON, IN 46714
Internal Medicine (Hematology & Oncology)
303 S MAIN ST
BLUFFTON, IN 46714
Internal Medicine
303 S MAIN ST
BLUFFTON, IN 46714
Podiatrist
303 S MAIN ST
BLUFFTON, IN 46714
Speech-Language Pathologist
303 S MAIN ST
BLUFFTON, IN 46714
Medicare Defined Swing Bed Unit
303 S MAIN ST
BLUFFTON, IN 46714
General Acute Care Hospital
303 S MAIN ST
BLUFFTON, IN 46714

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 Harish Ardeshna's NPI number?

The NPI number for Harish Ardeshna is 1386600229. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Harish Ardeshna located?

Harish Ardeshna practices at 303 S Main St, Bluffton, IN 46714. The listed phone number is (260) 919-3456.

What is Harish Ardeshna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Harish Ardeshna enrolled in Medicare?

Yes. Harish Ardeshna 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 Harish Ardeshna accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Harish Ardeshna 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 Harish Ardeshna affiliated with any hospitals?

According to CMS data, Harish Ardeshna is affiliated with Bluffton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Harish Ardeshna was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.