BINITA DIPAK VADHAR MD
NPI 1396225454
Internal Medicine - Pulmonary Disease in Jackson, TN

Active since August 17, 2018PECOS EnrolledAccepts Medicare Assignment
587 SKYLINE DR, JACKSON, TN 38301(731) 422-7900 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Aug 17, 2018 (2 updates tracked since 2018).

About Binita Dipak Vadhar Md NPPES

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

BINITA DIPAK VADHAR MD (NPI 1396225454) is an individual pulmonary disease provider in Jackson, Tennessee, licensed in Tennessee (0000070218) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396225454
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameBINITA DIPAK VADHARCredential: MD
Location Address587 SKYLINE DRJackson, TN 38301-3938
Mailing Address587 Skyline DrJackson, TN 38301-3938 · (731) 422-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 17, 2018
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1396225454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 0000070218
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0000070218 (TN)
587 SKYLINE DR, Jackson, TN 38301

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

Binita Dipak Vadhar 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 ID8224439229
PECOS Enrollment IDI20240627001839
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.

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.
66 services28 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.
28 services11 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.
19 services11 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
15 services14 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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.

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
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims20 services$7.27 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
3 suppliers29 claims29 services$113.56 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.

Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Internal Medicine
587 SKYLINE DR
JACKSON, TN 38301
Internal Medicine (Pulmonary Disease)
587 SKYLINE DR
JACKSON, TN 38301
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Clinic/Center (Primary Care)
587 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
587 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Psychiatric/Mental Health)
587 SKYLINE DR
JACKSON, TN 38301

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 Binita Vadhar's NPI number?

The NPI number for Binita Vadhar is 1396225454. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Binita Vadhar located?

Binita Vadhar practices at 587 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 422-7900.

What is Binita Vadhar's specialty?

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

Is Binita Vadhar enrolled in Medicare?

Yes. Binita Vadhar 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 Binita Vadhar accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Binita Vadhar 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 Binita Vadhar affiliated with any hospitals?

According to CMS data, Binita Vadhar is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital and Dyersburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Binita Vadhar was last updated on June 19, 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.