DR. DHRUV PANDYA MD
NPI 1437261575
Physical Medicine & Rehabilitation in Ashland, KY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
617 23RD STREET, SUITE 8B, MEDICAL PLAZA A, ASHLAND, KY 41101(606) 408-7246(606) 408-7230 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dhruv Pandya Md NPPES

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

DR. DHRUV PANDYA MD (NPI 1437261575) is an individual physical medicine & rehabilitation provider in Ashland, Kentucky, licensed in Kentucky (39643) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1437261575
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. DHRUV PANDYACredential: MD
Location Address617 23RD STREET, SUITE 8B, MEDICAL PLAZA AAshland, KY 41101-2845
Mailing AddressPo Box 1378Ashland, KY 41105-1378 · (606) 408-7246 · Fax (606) 408-7230
Fax(606) 408-7230
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 23, 2011
✔ NPI 1437261575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in KY · 39643
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
617 23RD STREET, Ashland, KY 41101

Other Identifiers 3

Medicare UPINI37845
Medicaid64108327KY
Medicare ID-Type Unspecified0975901KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dhruv Pandya 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 ID5294765855
PECOS Enrollment IDI20050823000064
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dhruv Pandya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
336 29TH ST, SUITE 204
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Family Medicine
10730 MIDLAND TRAIL RD
Ashland, KY 41102
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
Clinical
592 KY 15 SOUTH, SUITE 5
Campton, KY 41301
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Appalachian Wellness LLC
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
190 services120 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.
164 services87 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.
135 services93 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
51 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
36 services21 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180128
Location2485 Highway 644Louisa, KY 41230 · Lawrence County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Other Providers at the Same Location NPPES 2

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

Physical Medicine & Rehabilitation
617 23RD STREET, MEDICAL PLAZA A SUITE 8B
ASHLAND, KY 41101
Internal Medicine (Gastroenterology)
617 23RD STREET, SUITE 11
ASHLAND, KY 41101

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 Dhruv Pandya's NPI number?

The NPI number for Dhruv Pandya is 1437261575. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Dhruv Pandya located?

Dhruv Pandya practices at 617 23rd Street Suite 8B, Medical Plaza A, Ashland, KY 41101. The listed phone number is (606) 408-7246.

What is Dhruv Pandya's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Dhruv Pandya enrolled in Medicare?

Yes. Dhruv Pandya 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.

Which organizations bill Medicare for Dhruv Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhruv Pandya reassigns Medicare benefits to 3 organizations: Ashland Physiatry & Pain Management (Ashland, KY), Ashland Integrative Medicine LLC (Ashland, KY) and Appalachian Wellness, L.L.C. (Campton, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhruv Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhruv Pandya accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Dhruv Pandya 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 Dhruv Pandya affiliated with any hospitals?

According to CMS data, Dhruv Pandya is affiliated with King's Daughters' Medical Center, Three Rivers Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Dhruv Pandya was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.