HIRENKUMAR PANSHERIYA M.D.
NPI 1457620189
Hospitalist in West Allis, WI

Q: What is Hirenkumar Pansheriya's NPI number?

The NPI number for Hirenkumar Pansheriya is 1457620189. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Q: What is Hirenkumar Pansheriya's specialty?

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

Active since December 27, 2011PECOS EnrolledAccepts Medicare Assignment

2400 S 90TH STREET, MOB # 306, WEST ALLIS, WI 53227(347) 494-3434 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2021, Nov 11, 2020 (2 updates tracked since 2020).

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About Hirenkumar Pansheriya M.d. NPPES

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

HIRENKUMAR PANSHERIYA M.D. (NPI 1457620189) is an individual hospitalist provider in West Allis, Wisconsin, licensed in Wisconsin (56878-20) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1457620189

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameHIRENKUMAR PANSHERIYACredential: M.D.

Location Address2400 S 90TH STREET, MOB # 306West Allis, WI 53227

Mailing Address2400 S 90th Street, Mob # 306West Allis, WI 53227 · (347) 494-3434

Phone(347) 494-3434

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 27, 2011

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1457620189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 56878-20

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 56878-20 (WI)

2400 S 90TH STREET, West Allis, WI 53227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Hirenkumar Pansheriya 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 ID3678729191

PECOS Enrollment IDI20120815000531

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 Reassignment

Medicare enrollment records show Hirenkumar Pansheriya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

0.1 mi

Obstetrics & Gynecology

8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1457592735 (414) 328-8650

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 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.

323 services130 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.

123 services120 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.

92 services70 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.

48 services46 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.

36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520206

Location36500 Aurora DriveSummit, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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 Hirenkumar Pansheriya's NPI number?

The NPI number for Hirenkumar Pansheriya is 1457620189. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Hirenkumar Pansheriya located?

Hirenkumar Pansheriya practices at 2400 S 90th Street Mob # 306, West Allis, WI 53227. The listed phone number is (347) 494-3434.

What is Hirenkumar Pansheriya's specialty?

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

Is Hirenkumar Pansheriya enrolled in Medicare?

Yes. Hirenkumar Pansheriya 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 organization bills Medicare for Hirenkumar Pansheriya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hirenkumar Pansheriya reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Hirenkumar Pansheriya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hirenkumar Pansheriya accept?

Health plans from CareSource (Common Ground Healthcare) list Hirenkumar Pansheriya 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 Hirenkumar Pansheriya affiliated with any hospitals?

According to CMS data, Hirenkumar Pansheriya is affiliated with Aurora Health Care Central Inc, Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Hirenkumar Pansheriya was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.